NPIMap

Organization Active NPI

Premier Orthopedic Surgery, Inc.

  • Orthopaedic Surgery Physician
  • Guntersville, AL
National Provider Identifier
1689627572
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO930 Issued in AL
Legal business name
PREMIER ORTHOPEDIC SURGERY, INC.
Practice address
7938 Al Hwy 69
Suite 100
Guntersville, AL 35976
Phone
(256) 571-8445
NPI assigned
May 19, 2006
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Dr. Matthew Patrick Smith, D.O.
Title
President
Phone
(256) 505-7066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO930 AL Primary

Addresses

Primary practice location

7938 Al Hwy 69
Suite 100
Guntersville, AL 35976

Mailing address

7938 Al Hwy 69
Suite 100
Guntersville, AL 35976-7119
Phone (256) 571-8445

Other identifiers 5

IdentifierTypeStateIssuer
1689627572OtherALGROUP NPI
009938489MedicaidAL
1336193440OtherALINDIVIDUAL NPI
1225573629OtherNPI
009938491MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1689627572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7938 AL HWY 69",
            "address_2": "SUITE 100",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767119",
            "telephone_number": "256-571-8445",
            "fax_number": "256-571-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7938 AL HWY 69",
            "address_2": "SUITE 100",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-571-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-505-7066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "DO930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1689627572",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938489",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336193440",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225573629",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938491",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.