NPIMap

Organization Active NPI

Sportsmed Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Huntsville, AL
National Provider Identifier
1508947839
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPORTSMED ORTHOPAEDIC SPECIALISTS
Practice address
4715 Whitesburg Dr.
Huntsville, AL 35802-1632
Phone
(256) 881-5151
Fax
(256) 880-3939
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Tina Parden
Title
Practice Manager
Phone
(256) 650-1242

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X

Addresses

Primary practice location

4715 Whitesburg Dr.
Huntsville, AL 35802-1632

Mailing address

4715 Whitesburg Dr
Huntsville, AL 35802-1632
Phone (256) 881-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040907000749 AL Part B Supplier - Clinic/Group Practice 7214903723 Receives reassigned benefits from 130 practitioners
Practice locations: Scottsboro, AL; Owens Cross Roads, AL; Madison, AL; Huntsville, AL; Harvest, AL; Athens, AL
O20100930021560 AL DME Supplier - Multi-Specialty - Physician 7214903723 Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

2506 Danville Rd SW
Ste 202B
Decatur, AL 35603

2506 Danville Rd SW
Decatur, AL 35603
Phone (256) 306-0800

801 Main St NW
Hanceville, AL 35077

5850 Highway 53
Harvest, AL 35749
Phone (256) 851-5958

4715 Whitesburg Dr SE
Ste 100
Huntsville, AL 35802
Phone (256) 319-8500

2139 Winchester Rd NE
Ste N
Huntsville, AL 35811

2139 Winchester Rd NE
Ste B
Huntsville, AL 35811
Phone (256) 319-8500

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

33 Hughes Rd
Ste 1400
Madison, AL 35758

3101 Mountain Cove Dr
Ste 3
Owens Cross Roads, AL 35763

3101 Mountain Cove Dr
Owens Cross Roads, AL 35763

3101 Mountain Cove Dr
Ste B
Owens Cross Roads, AL 35763
Phone (256) 704-4261

Practitioners & affiliated clinicians

Practitioners 134

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 134

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": "1649203200000",
    "number": "1508947839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021632",
            "telephone_number": "256-881-5151",
            "fax_number": "256-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR.",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021632",
            "telephone_number": "256-881-5151",
            "fax_number": "256-880-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMED ORTHOPAEDIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "PARDEN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "256-650-1242"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.