NPIMap

Organization Active NPI

West Alabama Orthopaedic and Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Northport, AL
National Provider Identifier
1760420384
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
00009008 Issued in AL
Legal business name
WEST ALABAMA ORTHOPAEDIC AND SPORTS MEDICINE, PC
Practice address
1325 McFarland Blvd
Suite 102
Northport, AL 35476-3270
Phone
(205) 333-8800
Fax
(205) 333-8406
NPI assigned
Jun 4, 2006
Last updated
Feb 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mrs. Kathryn Banks Pritchett
Title
Insurance Specialist
Phone
(205) 330-4206

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 00022472 AL
Orthopaedic Surgery Physician 207X00000X 00009008 AL Primary
Physical Medicine & Rehabilitation Physician 208100000X DO932 AL

Addresses

Primary practice location

1325 McFarland Blvd
Suite 102
Northport, AL 35476-3270

Mailing address

PO Box 840
Northport, AL 35476-0840
Phone (205) 333-8800

Other identifiers 1

IdentifierTypeStateIssuer
529923320MedicaidAL

National Provider Directory

National Provider Directory

Locations

1325 McFarland Blvd
Ste 102
Northport, AL 35476
Phone (205) 333-8800

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1760420384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354760840",
            "telephone_number": "205-333-8800",
            "fax_number": "205-333-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MCFARLAND BLVD",
            "address_2": "SUITE 102",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763270",
            "telephone_number": "205-333-8800",
            "fax_number": "205-333-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALABAMA ORTHOPAEDIC AND SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "BANKS",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "205-330-4206",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "00022472",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "00009008",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "DO932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529923320",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.