NPIMap

Organization Active NPI

Woundsavers, PC

  • General Practice Physician
  • Tuscaloosa, AL
National Provider Identifier
1700150208
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16195 Issued in AL
Legal business name
WOUNDSAVERS, PC
Practice address
535 Jack Warner Pkwy NE
Suite J-1
Tuscaloosa, AL 35404-5751
Phone
(205) 553-5111
Fax
(205) 553-5105
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Adam Ross Nortick, MD
Title
President
Phone
(205) 223-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 16195 AL Primary

Addresses

Primary practice location

535 Jack Warner Pkwy NE
Suite J-1
Tuscaloosa, AL 35404-5751

Mailing address

3336 Buckhead Dr
Vestavia, AL 35216-3880
Phone (205) 223-0525

National Provider Directory

National Provider Directory
Tax ID family
Algometrix2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1700150208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 BUCKHEAD DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163880",
            "telephone_number": "205-223-0525",
            "fax_number": "205-823-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE",
            "address_2": "SUITE J-1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-553-5111",
            "fax_number": "205-553-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDSAVERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "NORTICK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-223-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "16195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

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