Premier Orthopedic Surgery, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIER ORTHOPEDIC SURGERY, INC

Practice address

2367 US Highway 431
Boaz, AL 35957-5910

Phone

(256) 571-8445

Fax

(256) 571-8447

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Matthew P Smith, DONPI 1336193440

Title

President

Phone

(256) 571-8445

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Matthew Patrick Smith, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Guntersville, AL
  • NPI 1336193440
  NPD Authorized official

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1205187663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7938 AL HWY 69",
            "address_2": "SUITE 100",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767119",
            "telephone_number": "256-571-8445",
            "fax_number": "256-571-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575910",
            "telephone_number": "256-571-8445",
            "fax_number": "256-571-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-571-8445",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938489",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51003891",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Philip, MD.
• Patrick Phillips, PHARMD
• Ivester Alexander Pope, M.D.
• Morgan Portwood
• Justin Robert Powell, CRNA
• Ryleigh Breanna Prickett, AU.D.
• Kayla Pruitt, CRNP
• Quirino Lim Pua, MD
• Purpose Path ABA
• Quality of Life Health Services, Inc

• Specialist in Boaz, AL
• Providers in Boaz, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.