Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raven Alise Omar, PA-C

Individual provider Physician Assistant · NPI 1275385270

Raven Alise Omar, PA-C is a Physician Assistant in Birmingham, Alabama. Works from 4 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

48 Medical Park Dr E Ste 458
Birmingham, AL 35235-3473
Phone: (205) 838-1811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 300 Medical Center Dr Ste 402, Gadsden, AL 35903-1104 — (205) 838-1811
  • 1400 Highway Dr Ste C, Oxford, AL 36203-1951 — (205) 900-2000
  • 7067 Veterans Pkwy, Pell City, AL 35125-5118 — (205) 838-1811

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275385270
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 3, 2024
Certification dateFebruary 14, 2024

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