Organization Active NPI

Orthopaedics of South Alabama

  • Orthopaedic Surgery Physician
  • Andalusia, AL
National Provider Identifier
1104094465
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25193 Issued in AL
Legal business name
ORTHOPAEDICS OF SOUTH ALABAMA
Practice address
300 Medical Ave
Suite 1
Andalusia, AL 36420-1204
Phone
(334) 427-1022
Fax
(334) 427-1023
NPI assigned
Feb 20, 2008
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mr. Landon B Andeson, M.D.
Title
Physician
Phone
(334) 427-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 25193 AL Primary

Addresses

Primary practice location

300 Medical Ave
Suite 1
Andalusia, AL 36420-1204

Mailing address

300 Medical Ave
Suite 1
Andalusia, AL 36420-1204
Phone (334) 427-1022

National Provider Directory

National Provider Directory

Locations

300 Medical Ave
Ste 1
Andalusia, AL 36420
Phone (334) 222-8734

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1104094465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL AVE",
            "address_2": "SUITE 1",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201204",
            "telephone_number": "334-427-1022",
            "fax_number": "334-427-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL AVE",
            "address_2": "SUITE 1",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201204",
            "telephone_number": "334-427-1022",
            "fax_number": "334-427-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDICS OF SOUTH ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "ANDESON",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-427-1022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "25193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.