NPIMap

Organization Active NPI

Orthopedic Surgery Specialists, Inc.

Doing business as Ortho Sports Athens, LLC

  • Orthopaedic Surgery Physician
  • Athens, AL
National Provider Identifier
1952577892
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO-530 Issued in AL
Legal business name
ORTHOPEDIC SURGERY SPECIALISTS, INC.
Doing business as
Ortho Sports Athens, LLC
Practice address
15243 Greenfield Dr
Suite a
Athens, AL 35613-2899
Phone
(256) 233-2332
Fax
(256) 216-3579
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mr. Joseph Patrick Boyett, D.O.
Title
Ceo
Phone
(205) 487-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X DO-530 AL Primary

Addresses

Primary practice location

15243 Greenfield Dr
Suite a
Athens, AL 35613-2899

Mailing address

1860 US Highway 43
Winfield, AL 35594-5062
Phone (205) 487-1111

Other identifiers 2

IdentifierTypeStateIssuer
1326199530MedicaidAL
51591148OtherALBLUE CROSS AND BLUE SHIELD OF AL

Other names 1

  • Ortho Sports Athens, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1323 Summitt
Jasper, AL 35501
Phone (205) 221-1324

202 Hospital St
Ste A
Moulton, AL 35650
Phone (256) 233-2332

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1952577892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945062",
            "telephone_number": "205-487-1111",
            "fax_number": "205-487-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 GREENFIELD DR",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132899",
            "telephone_number": "256-233-2332",
            "fax_number": "256-216-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGERY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-487-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "DO-530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326199530",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF AL",
            "identifier": "51591148",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho Sports Athens, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.