NPIMap

Organization Active NPI

Pell City Prosthetic Services

  • Specialist
  • Pell City, AL
National Provider Identifier
1790875532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
P1735 Issued in AL
Legal business name
PELL CITY PROSTHETIC SERVICES
Practice address
3302 Dr John Haynes Dr
Pell City, AL 35125-1582
Phone
(205) 338-0330
Fax
(205) 338-0330
NPI assigned
Oct 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Julie M Pounders
Title
President
Phone
(205) 338-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X P1735 AL Primary

Addresses

Primary practice location

3302 Dr John Haynes Dr
Pell City, AL 35125-1582

Mailing address

3302 Dr John Haynes Dr
Pell City, AL 35125-1582
Phone (205) 338-0330

National Provider Directory

National Provider Directory

Locations

3302 Dr John Haynes Dr
Pell City, AL 35125
Phone (205) 338-0330

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790875532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251582",
            "telephone_number": "205-338-0330",
            "fax_number": "205-338-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251582",
            "telephone_number": "205-338-0330",
            "fax_number": "205-338-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELL CITY PROSTHETIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POUNDERS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-338-0330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "P1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.