Provider Demographics
NPI:1558858613
Name:CONWAY, YVONNE CHODABA (MD)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:CHODABA
Last Name:CONWAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YVONNE
Other - Middle Name:ELIZABETH
Other - Last Name:CHODABA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:833 SAINT VINCENTS DR STE 403
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1614
Mailing Address - Country:US
Mailing Address - Phone:205-939-0447
Mailing Address - Fax:205-939-0418
Practice Address - Street 1:5850 VALLEY RD STE 110
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35235-8683
Practice Address - Country:US
Practice Address - Phone:205-939-0447
Practice Address - Fax:205-838-3043
Is Sole Proprietor?:No
Enumeration Date:2018-04-15
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.38846207XX0004X
AL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery