SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. (NPI# 1063553741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063553741 |
| Entity Type | Organization |
| Organization Name | SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. |
| Practice Address |
2506 Danville Rd Sw Ste 202 Decatur AL 35603-4232 |
| Practice Telephone | 2563060800 |
| Practice Fax Number | 2563090943 |
| Mailing Telephone | 2563060800 |
| Mailing Fax Number | 2563090943 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | TINA PARDEN (PRACTICE MANAGER) |
| Authorized Official Telephone | 2566501242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124460480 | Sportsmed Orthopaedic Specialists, P.C. | Orthopaedic Surgery | 1701 Main Ave Sw, Suite G, Cullman, AL 35055-5299 | 2013-07-26 |
| 1285826636 | Sportsmed Orthopaedic Specialists, P.C. | Physical Therapist | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2007-08-09 |
| Street Address |
2506 DANVILLE RD SW STE 202 |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1689964280 | Saif U Zaman | Orthopaedic Surgery | 505 Irvin Ct Ste 200, Decatur, GA 30030-1780 | 2011-04-15 |
| 1740485317 | Georgia Knee & Sports Medicine | Orthopaedic Surgery | 2801 N Decatur Road, Decatur, GA 30033-5949 | 2007-06-15 |
| 1336109867 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 805 High St, Decatur, IN 46733-2324 | 2006-03-27 |
| 1245205020 | Julio Petilon | Orthopaedic Surgery | 2801 N Decatur Rd Ste 200, Decatur, GA 30033 | 2006-02-23 |
| 1437130986 | Fitzgerald Orthopaedics, P.C. | Orthopaedic Surgery | 203 N 12th St, Decatur, IN 46733-1554 | 2005-11-10 |
| 1891782918 | Lawrence A. Bircoll | Orthopaedic Surgery | 487 Winn Way, Suite 100, Decatur, GA 30030-1735 | 2005-10-04 |
| 1073500401 | James B. Madeley | Orthopaedic Surgery | 2680 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-2526 | 2005-09-30 |
| 1811993405 | John C. Kefalas, M.d.,s.c. | Orthopaedic Surgery | 2905 N Main St, Suite G, Decatur, IL 62526-4276 | 2005-06-28 |
| 1285638072 | M Stephen Huss | Orthopaedic Surgery | 304 W Hay St, Ste 213, Decatur, IL 62526-4169 | 2005-06-09 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.