Marshall Medical Center South

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MARSHALL MEDICAL CENTER SOUTH

Practice address

38 Rowe Dr
Guntersville, AL 35976-7367

Phone

(256) 571-8913

Fax

(256) 571-8918

NPI assigned

Jan 17, 2014

Organization subpart

Yes

Parent organization

MARSHALL MEDICAL CENTER SOUTHAs reported in NPPES

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

Authorized official

Name

Mrs. Kathy B Nelson

Title

Cfo

Phone

(256) 571-8913

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Orthopaedic Assoc of Marshall County Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

James a Clement Jr MMC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph C. Kendra, M.D.

  • Orthopaedic Surgery Physician
  • Boaz, AL
  • NPI 1396743001
  Medicare reassignment NPD

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1962824441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT# 2316",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462316",
            "telephone_number": "256-571-8913",
            "fax_number": "256-571-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ROWE DR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767367",
            "telephone_number": "256-571-8913",
            "fax_number": "256-571-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER SOUTH",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-571-8913",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156252",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DU6788",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Assoc of Marshall County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall Medical Center North
• Marshall Medical Center North
• Marshall Medical Center North Family Medical Center
• Marshall Medical Center North Jones Pediatric Practice
• Marshall Medical Center North Medical Centers Behavioral Health Clinic
• Marshall Medical Center South Manganaris Pulmonology
• Marshall Medical Center South Medical Specialists of North Alabama
• Marshall Medical Center South Pediatric Hospital Services
• Marshall Medical Centers Pain Managment Services
• Marshall Orthopedics PC

• Orthopaedic Surgery Physician in Guntersville, AL
• Providers in Guntersville, 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 Oct 1, 2014; 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.