Organization Active NPI

Alabama Orthopaedics and Sports Medicine Assoc

  • Specialist
  • Montgomery, AL
National Provider Identifier
1992973408
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00008637 Issued in AL
Legal business name
ALABAMA ORTHOPAEDICS AND SPORTS MEDICINE ASSOC
Practice address
242 Winton M Blount Loop
Montgomery, AL 36117-3501
Phone
(334) 395-5800
Fax
(334) 395-5880
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Debbie Jean Harkness
Title
Administrator
Phone
(334) 395-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00008637 AL Primary

Addresses

Primary practice location

242 Winton M Blount Loop
Montgomery, AL 36117-3501

Mailing address

242 Winton M Blount Loop
Montgomery, AL 36117-3501
Phone (334) 395-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000455 AL Part B Supplier - Clinic/Group Practice 5698843415 Receives reassigned benefits from 1 practitioner
Practice locations: Wetumpka, AL; Tuskegee, AL; Montgomery, AL; Clanton, AL

National Provider Directory

National Provider Directory

Locations

49 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 514-7114

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1992973408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173501",
            "telephone_number": "334-395-5800",
            "fax_number": "334-395-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173501",
            "telephone_number": "334-395-5800",
            "fax_number": "334-395-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA ORTHOPAEDICS AND SPORTS MEDICINE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "HARKNESS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-395-5800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00008637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.