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Medical Associates of Birmingham, P.C.

Details

Name: Medical Associates of Birmingham, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 08 May 2000 (25 years ago)
Entity Number: 000-209-790
Register Number: 000209790
Historical Names: King and Richardson, P.C.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 50 MEDICAL PARK DR EASTBIRMINGHAM, AL 35235
Registered Office Street Address ZIP Code: 35235
Authorized Capital: $100

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114338597 2014-05-19 2014-05-19 250 LUCERNE BLVD, BIRMINGHAM, AL, 352096614, US 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US

Contacts
Phone +1 205-612-1659

Authorized person
Name JOHN BARRY KING
Role PRESIDENT AND SECRETARY
Phone 2056121659

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number MD16619
State AL
Is Primary Yes
Taxonomy Code 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
License Number MD16619
State AL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL ASSOCIATES OF BIRMINGH 401 K PROFIT SHARING PLAN TRUST 2010 631246886 2011-07-29 KING AND RICHARDSON, P.C. 2
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 812990
Sponsor’s telephone number 2053834727
Plan sponsor’s address 270 DOUG BAKER BLVD #700, BOX 102, BIRMINGHAM, AL, 35242

Plan administrator’s name and address
Administrator’s EIN 631246886
Plan administrator’s name KING AND RICHARDSON, P.C.
Plan administrator’s address 270 DOUG BAKER BLVD #700, BOX 102, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2053834727

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing KING AND RICHARDSON, P.C.
MEDICAL ASSOCIATES OF BIRMINGHAM 401(K) PROFIT SHARING PLAN & TRUST 2010 631246886 2011-10-28 KING AND RICHARDSON, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 812990
Sponsor’s telephone number 2053834727
Plan sponsor’s address 270 DOUG BAKER BLVD, #700 BOX 102, BIRMINGHAM, AL, 35242

Plan administrator’s name and address
Administrator’s EIN 631246886
Plan administrator’s name KING AND RICHARDSON, P.C.
Plan administrator’s address 270 DOUG BAKER BLVD, #700 BOX 102, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2053834727

Signature of
Role Plan administrator
Date 2011-10-28
Name of individual signing JOHN KING
MEDICAL ASSOCIATES OF BIRMINGH 401 K PROFIT SHARING PLAN TRUST 2010 631246886 2011-10-28 KING AND RICHARDSON, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 812990
Sponsor’s telephone number 2053834727
Plan sponsor’s address 270 DOUG BAKER BLVD #700, BOX 102, BIRMINGHAM, AL, 35242

Plan administrator’s name and address
Administrator’s EIN 631246886
Plan administrator’s name KING AND RICHARDSON, P.C.
Plan administrator’s address 270 DOUG BAKER BLVD #700, BOX 102, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2053834727

Signature of
Role Plan administrator
Date 2011-10-28
Name of individual signing KING AND RICHARDSON, P.C.
MEDICAL ASSOCIATES OF BIRMINGH 2009 631246886 2010-10-04 KING AND RICHARDSON, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 812990
Sponsor’s telephone number 2053834727
Plan sponsor’s address 270 DOUG BAKER BLVD #700, BOX 102, BIRMINGHAM, AL, 35242

Plan administrator’s name and address
Administrator’s EIN 631246886
Plan administrator’s name KING AND RICHARDSON, P.C.
Plan administrator’s address 270 DOUG BAKER BLVD #700, BOX 102, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2053834727

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing KING AND RICHARDSON, P.C.

Agent

Name Role
KING, J BARRY Agent

Incorporator

Name Role Address
STEWART, WILLIAM B Incorporator 800 SHADES CREEK PARKWAY, SUITE 400BIRMINGHAM, AL 35209-1196

Events

Event Date Event Type Old Value New Value
2006-08-29 Name Change King and Richardson, P.C. Medical Associates of Birmingham, P.C.

Related by officers

STEWART, WILLIAM B

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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