NPIMap

Organization Active NPI

STV Orthopedic Surgeons LLC

  • Orthopaedic Surgery Physician
  • Clanton, AL
National Provider Identifier
1316482391
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
STV ORTHOPEDIC SURGEONS LLC
Practice address
2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone
(205) 939-7955
Fax
(205) 739-2049
NPI assigned
Dec 29, 2016
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Brandon Williams
Title
Cfo
Phone
(205) 939-7955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

2030 Lay Dam Rd
Clanton, AL 35045-8344

Mailing address

50 Medical Park Dr E
BLDG 46, Ste 310, Finance
Birmingham, AL 35235-3401
Phone (205) 838-5286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327002517 AL Part B Supplier - Clinic/Group Practice 8224313614 Receives reassigned benefits from 15 practitioners
Practice locations: Birmingham, AL; Vestavia Hills, AL; Hoover, AL; Clanton, AL; Gardendale, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1316482391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "address_2": "BLDG 46, STE 310, FINANCE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-838-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458344",
            "telephone_number": "205-939-7955",
            "fax_number": "205-739-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STV ORTHOPEDIC SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-939-7955"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.