NPIMap

Organization Active NPI

Shoals Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Florence, AL
National Provider Identifier
1619013422
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SHOALS ORTHOPEDICS, PC
Practice address
426 W College St
Florence, AL 35630-5521
Phone
(256) 718-4041
Fax
(256) 718-3665
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Kerry Del Pizzo
Title
Office Manager
Phone
(256) 718-4041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X

Addresses

Primary practice location

426 W College St
Florence, AL 35630-5521

Mailing address

426 W College St
Florence, AL 35630-5521

Other identifiers 2

IdentifierTypeStateIssuer
4562760001OtherALMEDICARE DMERC
529911910MedicaidAL

Other names 1

  • Shoals Orthopedics Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000746 AL Part B Supplier - Clinic/Group Practice 0941292940 Receives reassigned benefits from 4 practitioners
Practice locations: Florence, AL; Muscle Shoals, AL

National Provider Directory

National Provider Directory

Locations

128 W Tombigbee St
Florence, AL 35630
Phone (256) 718-2075

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1619013422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305521",
            "telephone_number": "256-718-4041",
            "fax_number": "256-718-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS ORTHOPEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "DEL PIZZO",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-718-4041"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "4562760001",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529911910",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoals Orthopedics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.