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RAVEN ALISE OMAR PA-C
NPI 1275385270
Physician Assistant in Birmingham, AL

Active since April 03, 2024
48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL 35235(205) 838-1811 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Alise Omar Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN ALISE OMAR PA-C (NPI 1275385270) is an individual physician assistant in Birmingham, Alabama and active in the NPI registry since April 2024. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1275385270
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRAVEN ALISE OMARCredential: PA-C
Location Address48 MEDICAL PARK DR E STE 458Birmingham, AL 35235-3473
Mailing Address7637 Wind Gap LnPinson, AL 35126-4001 · (205) 901-8255
Phone(205) 838-1811
Sole ProprietorNo
Enumeration DateApril 3, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1275385270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
48 MEDICAL PARK DR E STE 458, Birmingham, AL 35235
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Secondary Practice Locations 3

Location 17067 Veterans PkwyPell City, AL 35125-5118 · Phone (205) 838-1811
Location 21400 Highway Dr Ste COxford, AL 36203-1951 · Phone (205) 900-2000
Location 3300 Medical Center Dr Ste 402Gadsden, AL 35903-1104 · Phone (205) 838-1811

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALIA BREE DOWNING MD
Dermatology (MOHS-Micrographic Surgery)
48 MEDICAL PARK DR E STE 458
BIRMINGHAM, AL 35235
Jefferson County (205) 900-2000
SSD, LLC
Dermatology
48 MEDICAL PARK DR E STE 458
BIRMINGHAM, AL 35235
Jefferson County (205) 838-1811
DR. MARIO KUMAR MARUTHUR M.D.
Dermatology
48 MEDICAL PARK DR E STE 458
BIRMINGHAM, AL 35235
Jefferson County (205) 900-2000
KIMBERLY S MILLS
Physician Assistant
48 MEDICAL PARK DR E STE 458
BIRMINGHAM, AL 35235
Jefferson County (205) 900-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Omar's NPI number?

The NPI number for Raven Omar is 1275385270. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Raven Omar located?

Raven Omar practices at 48 Medical Park Dr E Ste 458, Birmingham, AL 35235. The listed phone number is (205) 838-1811.

What is Raven Omar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Raven Omar was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.