Active NPI
Mountain Lake Orthopedics
- Orthopaedic Surgery Physician
- Cullman, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 13890
- Legal business name
- MOUNTAIN LAKE ORTHOPEDICS
- Practice address
- 1912 Cherokee Ave SW
Suite 3200
Cullman, AL 35055-5595 - Phone
- (256) 736-5505
- Fax
- (256) 736-5551
- NPI assigned
- Oct 17, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Eugene Songer, M.D.
- Title
- President
- Phone
- (256) 736-5505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 13890 | AL | Primary |
Addresses
Primary practice location
1912 Cherokee Ave SW
Suite 3200
Cullman, AL 35055-5595
Mailing address
1912 Cherokee Ave SW
Suite 3200
Cullman, AL 35055-5595
Phone (256) 736-5505
National Provider Directory
National Provider DirectoryLocations
605 Medical Center Pkwy
#A
Boaz, AL 35957
Phone (256) 593-0331
1912 Cherokee Ave SW
Ste 3200
Cullman, AL 35055
Phone (256) 571-8501
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- Cullman, AL
- NPI 1922188564
-
- Specialist
- Guntersville, AL
- NPI 1720069230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366522856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 CHEROKEE AVE SW",
"address_2": "SUITE 3200",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350555595",
"telephone_number": "256-736-5505",
"fax_number": "256-736-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 CHEROKEE AVE SW",
"address_2": "SUITE 3200",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350555595",
"telephone_number": "256-736-5505",
"fax_number": "256-736-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN LAKE ORTHOPEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SONGER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-736-5505",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "13890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, 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.