University Orthopaedic Clinic, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

UNIVERSITY ORTHOPAEDIC CLINIC, PC

Practice address

1732 Temple Ave N
Fayette, AL 35555-1321

Phone

(205) 345-0192

Fax

(205) 247-2194

NPI assigned

Dec 14, 2010

Last updated

Dec 14, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

UNIVERSITY ORTHOPAEDIC CLINIC, PCAs reported in NPPES

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

Authorized official

Name

Mrs. Donna S Wood

Title

Chief Executive Officer

Phone

(205) 345-0192

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

University Orthopaedic Clinic PC4 organizations share this tax ID, including this one

Part of

University Orthopaedic Clinic PC

Other organizations with this tax ID 3

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

• University Orthopaedic Clinic, PC

  • Orthopaedic Surgery Physician
  • Carrolton, AL
  • NPI 1467755405
  NPD tax ID
• University Orthopaedic Clinic, PC

  • Orthopaedic Surgery Physician
  • Northport, AL
  • NPI 1760785703
  NPD tax ID
• University Orthopaedic Clinic, PC

  • Orthopaedic Surgery Physician
  • Tuscaloosa, AL
  • NPI 1841593886
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• University Orthopaedic Clinic, PC

  • Orthopaedic Surgery of the Spine Physician
  • Tuscaloosa, AL
  • NPI 1073551461
  NPPES parent name

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1740583780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2447",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032447",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 TEMPLE AVE N",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551321",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ORTHOPAEDIC CLINIC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY ORTHOPAEDIC CLINIC, PC",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "205-345-0192",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51036272",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528301220",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Temple Emergency Group LLC
• The Arc of Fayette/Lamar/Marengo Counties Inc
• The Language Lab
• Juliet Thornton, FNP-BC
• Deborah Threadgill, LPC
• Urgent Care Northwest, PC (MedCenter Fayette, LLC)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1052)
• Wal-Mart Stores East, LP (Vision Center 30-1052)
• West Alabama Physician Associates LLC (Fayette General Surgery)
• Melinda Dillard Wilson, ATC

• Orthopaedic Surgery Physician in Fayette, AL
• Providers in Fayette, 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 Dec 14, 2010; 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.