Organization Active NPI

South Alabama Orthopedics & Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Ozark, AL
National Provider Identifier
1952311631
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO-563 Issued in AL
Legal business name
SOUTH ALABAMA ORTHOPEDICS & SPORTS MEDICINE, PC
Practice address
2126 W Roy Parker Rd
Suite 201
Ozark, AL 36360-8566
Phone
(334) 445-2663
Fax
(334) 774-7271
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Dr. David Alan Clark, DO
Title
President
Phone
(334) 445-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X DO-563 AL Primary

Addresses

Primary practice location

2126 W Roy Parker Rd
Suite 201
Ozark, AL 36360-8566

Mailing address

PO Box 1025
Ozark, AL 36361-1025
Phone (334) 445-2663

Other identifiers 1

IdentifierTypeStateIssuer
1952311631MedicaidAL

National Provider Directory

National Provider Directory

Locations

2126 W Roy Parker Rd
Ste 201
Ozark, AL 36360
Phone (334) 445-2663

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1952311631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363611025",
            "telephone_number": "334-445-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 W ROY PARKER RD",
            "address_2": "SUITE 201",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363608566",
            "telephone_number": "334-445-2663",
            "fax_number": "334-774-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALABAMA ORTHOPEDICS & SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-445-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "DO-563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952311631",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.