Destin Orthopedics,PL

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD9362 Issued in AL

Legal business name

DESTIN ORTHOPEDICS,PL

Practice address

5613 Cottage Hill Rd
Mobile, AL 36609-4210

Phone

(251) 665-5127

Fax

(251) 665-5159

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Herbert Victor Allen III, M.D.

Title

President

Phone

(251) 665-5127

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1548565773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36008 EMERALD COAST PKWY",
            "address_2": "SUITE 102A",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414792",
            "telephone_number": "251-665-5127",
            "fax_number": "251-665-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366094210",
            "telephone_number": "251-665-5127",
            "fax_number": "251-665-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN ORTHOPEDICS,PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-665-5127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD9362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.