Organization Active NPI

Innovative Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Florence, AL
National Provider Identifier
1023220688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
14844 Issued in AL
Legal business name
INNOVATIVE ORTHOPAEDICS AND SPORTS MEDICINE PC
Practice address
2201 Cloyd Blvd
Florence, AL 35630-1505
Phone
(256) 764-7781
Fax
(256) 764-3908
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John T Murphy, M.D.
Title
President
Phone
(256) 764-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 14844 AL Primary

Addresses

Primary practice location

2201 Cloyd Blvd
Florence, AL 35630-1505

Mailing address

2201 Cloyd Blvd
Florence, AL 35630-1505
Phone (256) 764-7781

Other identifiers 4

IdentifierTypeStateIssuer
05155430MedicaidAL
1003909375OtherALINDIVIDUAL NPI NUMBER
51000113OtherALBLUE CROSS BLUE SHIELD
P00192214OtherALRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2201 Cloyd Blvd
Florence, AL 35630
Phone (256) 764-7781

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023220688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CLOYD BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301505",
            "telephone_number": "256-764-7781",
            "fax_number": "256-764-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CLOYD BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301505",
            "telephone_number": "256-764-7781",
            "fax_number": "256-764-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ORTHOPAEDICS AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-764-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "14844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05155430",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1003909375",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51000113",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00192214",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.