Provider Demographics
NPI:1659381291
Name:RIGGINS, LEE SHEFTON (MD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:SHEFTON
Last Name:RIGGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 TUSCALOOSA AVE SW
Mailing Address - Street 2:SUITE D-210
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1416
Mailing Address - Country:US
Mailing Address - Phone:205-780-8980
Mailing Address - Fax:205-785-1554
Practice Address - Street 1:401 TUSCALOOSA AVE SW
Practice Address - Street 2:SUITE D-210
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1416
Practice Address - Country:US
Practice Address - Phone:205-780-8980
Practice Address - Fax:205-785-1554
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11197208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009973980Medicaid
AL051503508Medicaid
AL009973980Medicaid
ALB46221Medicare UPIN