Active NPI
South Alabama Orthopedics & Sports Medicine, PC
- Orthopaedic Surgery Physician
- Ozark, AL
National Provider Identifier
1952311631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- DO-563
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952311631 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
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
- Malcolm Tyvonne Smith, RBT
- Rebecka Smith, MSOT, OTR/L
- Leonard Joseph Smolinski, MS LPC
- Benjamin L Sneed, CRNP
- South Alabama Eye Care, P.C.
- South Otolaryngology-Head and Neck Surgery, LLC
- Southern Sleep Clinics LLC
- Southland Hospitalist at Ozark, PL
- Southland Medical Solutions of Ozark, PL
- Hannah Grace Spooner
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.