Clark County Orthopedic Group LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

00003627 Issued in AL

Legal business name

CLARK COUNTY ORTHOPEDIC GROUP LLC

Practice address

Unit 134
3050 Hwy 5 N
Thomasville, AL 36784-4325

Phone

(334) 636-0793

Fax

(334) 636-2280

NPI assigned

Aug 23, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Judy A Moore

Title

Insurance Clerk

Phone

(334) 636-0793

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1114034501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIT 134",
            "address_2": "3050 HWY 5 N",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367844325",
            "telephone_number": "334-636-0793",
            "fax_number": "334-636-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIT 134",
            "address_2": "3050 HWY 5 N",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367844325",
            "telephone_number": "334-636-0793",
            "fax_number": "334-636-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY ORTHOPEDIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "334-636-0793",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "00003627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K772",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Bonsu, PHARMACIST
• Kay Brasell
• Jessica K Campbell, CRNP
• Carpenter Therapy Services, LLC
• Cynthia Renae Carpenter, LICSW-PIP
• Clarke County Family Medicine LLC
• Clarke County Family Practice LLC
• Clarke County Healthcare LLC (Southwest Alabama Medical Center)
• Clarke County Internal Medicine LLC (Clarke County Internal Medicine)
• Clarke County Medical Group LLC

• Orthopaedic Surgery Physician in Thomasville, AL
• Providers in Thomasville, AL by specialty
• Orthopaedic Surgery Physician in Alabama

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