Provider Demographics
NPI:1811121676
Name:RADCLIFF, VIRGINIA STINSON (MD)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:STINSON
Last Name:RADCLIFF
Suffix:
Gender:F
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:PO BOX 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-433-3344
Mailing Address - Fax:251-433-4052
Practice Address - Street 1:141 TUSCALOOSA ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3422
Practice Address - Country:US
Practice Address - Phone:251-433-3344
Practice Address - Fax:251-433-4052
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34042207R00000X, 207RP1001X, 207RP1001X
PAMT194953207R00000X
NC2012-01242207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL209457Medicaid
AL211669Medicaid
AL511-61733OtherBCBS OF AL
AL5445860OtherUNITED HEALTHCARE
ALP01503015OtherRR MEDICARE
MS02585257OtherMS MEDICAID
AL209761Medicaid
AL212877Medicaid
AL512-05764OtherBCBS OF AL
AL9188150OtherCIGNA HC
AL172304Medicaid
ALZ97037OtherVIVA HEALTH
AL511-62263OtherBCBS OF AL
AL511-95739OtherBCBS OF AL
AL213240Medicaid
AL4738605OtherAETNA
AL512-05765OtherBCBS OF AL