Active NPI
Donald F Hodurski, M.D.
- Orthopaedic Surgery Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 00005785
- Practice address
- 101 S Union St
Montgomery, AL 36130-3022 - Phone
- (334) 301-2825
- NPI assigned
- Mar 21, 2006
- Last updated
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 00005785 | AL | Primary |
| Orthopaedic Surgery Physician | 207X00000X | ME90799 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 01023439A | IN |
Addresses
Primary practice location
101 S Union St
Montgomery, AL 36130-3022
Mailing address
PO Box 49
Fitzpatrick, AL 36029-0049
Phone (334) 301-2825
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0910073 | Other | AL | UNITED HEALTHCARE |
| 000037186 | Medicaid | AL | |
| 009939391 | Medicaid | AL | |
| 510-37186 | Other | AL | BCBS |
| 200026240 | Other | RAILROAD MEDICARE | |
| 510-07507 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00005785 | AL | MD | Orthopaedic Surgery Physician |
| ME90799 | FL | MD | Orthopaedic Surgery Physician |
| 01023439A | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Alabama, Inc | Current | Accepting new patients | |
| Southern Orthopaedic Surgeons, LLC | Past | Accepting new patients |
Locations
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
735 S Washington Ave
Mobile, AL 36603
Phone (251) 433-2642
1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485
Interoperability endpoints
- donald.hodurski@direct.baptistfirst.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Mobile, AL
- NPI 1235238916
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- Durable Medical Equipment & Medical Supplies
- Montgomery, AL
- NPI 1669266599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1437118254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49",
"city": "FITZPATRICK",
"state": "AL",
"postal_code": "360290049",
"telephone_number": "334-301-2825",
"fax_number": "334-738-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S UNION ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361303022",
"telephone_number": "334-301-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODURSKI",
"first_name": "DONALD",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "00005785",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME90799",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01023439A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0910073",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000037186",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009939391",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-37186",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200026240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-07507",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.