Provider Demographics
NPI:1841225125
Name:ROUTMAN, MARC HOWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:HOWELL
Last Name:ROUTMAN
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 1:2018 BROOKWOOD MEDICAL CTR DR
Mailing Address - Street 2:SUITE 314
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6898
Mailing Address - Country:US
Mailing Address - Phone:205-877-2950
Mailing Address - Fax:205-877-2952
Practice Address - Street 1:2018 BROOKWOOD MEDICAL CTR DR
Practice Address - Street 2:SUITE 314
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6898
Practice Address - Country:US
Practice Address - Phone:205-877-2950
Practice Address - Fax:205-877-2952
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17007207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL263746OtherCIGNA
AL51130493OtherBLUE CROSS/BLUE SHIELD
AL839622OtherHUMANA
ALB89534OtherSENIORS FIRST
AL5180015OtherAETNA
AL1350850OtherUHC
B89534Medicare UPIN
0515 17064Medicare ID - Type Unspecified