Organization Active NPI

Orthopaedic Specialists of Alabama, PC

  • Orthopaedic Surgery Physician
  • Sylacauga, AL
National Provider Identifier
1780994905
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SPECIALISTS OF ALABAMA, PC
Practice address
209 W. Spring St.
Ste. 301
Sylacauga, AL 35150-2976
Phone
(256) 249-2249
Fax
(256) 249-8440
NPI assigned
Oct 21, 2010
Last updated
Dec 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Jennifer Freed
Title
Credentialing
Phone
(423) 702-7536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

209 W. Spring St.
Ste. 301
Sylacauga, AL 35150-2976

Mailing address

4295 Cromwell Rd.
Ste. 308
Chattanooga, TN 37421-2163
Phone (423) 702-7536

Other identifiers 1

IdentifierTypeStateIssuer
528201850MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1780994905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 CROMWELL RD.",
            "address_2": "STE. 308",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212163",
            "telephone_number": "423-702-7536",
            "fax_number": "423-877-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W. SPRING ST.",
            "address_2": "STE. 301",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502976",
            "telephone_number": "256-249-2249",
            "fax_number": "256-249-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALISTS OF ALABAMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "423-702-7536"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528201850",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.