Organization Active NPI

Palmer Orthopaedic & Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Fort Payne, AL
National Provider Identifier
1467657957
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
17684 Issued in AL
Legal business name
PALMER ORTHOPAEDIC & SPORTS MEDICINE, PC
Practice address
315 Medical Center Dr. SW
Fort Payne, AL 35968
Phone
(256) 997-9777
Fax
(256) 997-9768
NPI assigned
Jun 15, 2007
Last updated
Mar 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Christopher G Palmer, MD
Title
Owner/Physician
Phone
(256) 997-9777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU
Orthopaedic Surgery Physician 207X00000X 17684 AL Primary

Addresses

Primary practice location

315 Medical Center Dr. SW
Fort Payne, AL 35968

Mailing address

315 Medical Center Dr. SW
Fort Payne, AL 35968
Phone (256) 997-9777

Other identifiers 3

IdentifierTypeStateIssuer
DG4090OtherMEDICARE RAILROAD
529932930MedicaidAL
5977990001OtherMEDICARE DME

National Provider Directory

National Provider Directory

Locations

315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1467657957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MEDICAL CENTER DR. SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-997-9777",
            "fax_number": "256-997-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MEDICAL CENTER DR. SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-997-9777",
            "fax_number": "256-997-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER ORTHOPAEDIC & SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-997-9777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "17684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG4090",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932930",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5977990001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.