Eastern Shore Orthopaedic Center, P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

11349 Issued in AL

Legal business name

EASTERN SHORE ORTHOPAEDIC CENTER, P.C.

Practice address

912 Plantation Blvd
Fairhope, AL 36532-2952

Phone

(251) 928-4033

Fax

(251) 928-4032

NPI assigned

Jul 3, 2007

Last updated

Jan 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John A Rodriguez-Feo, M.D.NPI 1083681274

Title

President

Phone

(251) 928-4033

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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.

• John A Rodriguez-Feo, MD

  • Orthopaedic Surgery Physician
  • Fairhope, AL
  • NPI 1083681274
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer M Davis, DPT, OCS

  • Orthopedic Physical Therapist
  • Fairhope, AL
  • NPI 1427025089
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1942408729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1212",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365331212",
            "telephone_number": "251-928-4033",
            "fax_number": "251-928-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 PLANTATION BLVD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322952",
            "telephone_number": "251-928-4033",
            "fax_number": "251-928-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE ORTHOPAEDIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-FEO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-928-4033",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "11349",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529400020",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51088164",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51094156",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Shore Heart Center
• Eastern Shore Internal Medicine, LLC
• Eastern Shore Medical Specialists, LLC
• Eastern Shore Mental Wellness Center
• Eastern Shore Oral, Facial and Implant Surgery Center, P.C.
• Eastern Shore Orthotics & (Hanger Clinic)
• Eastern Shore Pharmacy, LLC (Eastern Shore Pharmacy)
• Easternshore OBGYN
• Stacy Lynette Edwards, MFT-I
• Walter Le Rroy Elam III

• Orthopaedic Surgery Physician in Fairhope, AL
• Providers in Fairhope, 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 Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.