Implantable Supplies

Primary specialty

SpecialistTaxonomy code 174400000X

License

19417 Issued in AL

Legal business name

IMPLANTABLE SUPPLIES

Practice address

605 Queens Gate
Birmingham, AL 35242-7221

Phone

(205) 901-8658

Fax

(205) 682-6057

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Marion Sovic, MD

Title

President

Phone

(205) 901-8658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1700280773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 QUEENS GATE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427221",
            "telephone_number": "205-901-8658",
            "fax_number": "205-682-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 QUEENS GATE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427221",
            "telephone_number": "205-901-8658",
            "fax_number": "205-682-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANTABLE SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "SOVIC",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-901-8658",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "19417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.