Active NPI
Palmer Orthopaedic & Sports Medicine, PC
- Orthopaedic Surgery Physician
- Fort Payne, AL
National Provider Identifier
1467657957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 17684
- 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, 2011
- 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
- Christopher G Palmer, MD
- Title
- Owner/Physician
- Phone
- (256) 997-9777
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG4090 | Other | MEDICARE RAILROAD | |
| 529932930 | Medicaid | AL | |
| 5977990001 | Other | MEDICARE DME |
National Provider Directory
National Provider DirectoryLocations
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.