ORTHOSPORTS ASSOCIATES LLC (NPI# 1114226438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114226438 |
| Entity Type | Organization |
| Organization Name | ORTHOSPORTS ASSOCIATES LLC |
| Practice Address |
833 Saint Vincents Dr Bldg. 3, Suite 403 Birmingham AL 35205-1606 |
| Practice Telephone | 2059390447 |
| Practice Fax Number | 2059390418 |
| Mailing Telephone | 2059390447 |
| Mailing Fax Number | 2059390418 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | SHANE BUGGAY (PRESIDENT) |
| Authorized Official Telephone | 2059390447 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851665095 | Orthosports Associates LLC | Orthopaedic Surgery | 16233 Highway 280, Suite G, Chelsea, AL 35043-8355 | 2012-03-06 |
| Street Address |
833 SAINT VINCENTS DR BLDG. 3, SUITE 403 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433494 | Timothy Andrew Mcgraw | Dermatology | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2005-08-10 |
| 1598381386 | Madison Nikole Hatchett | Audiologist | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2020-06-17 |
| 1992263297 | Erika V Jobes | Nurse Practitioner | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2019-03-05 |
| 1295227007 | Raven Samone Holmes | Dietitian, Registered | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2018-06-06 |
| 1457897654 | Helen King | Physician Assistant | 833 Saint Vincents Dr, Building 3, Suite 402, Birmingham, AL 35205-1606 | 2017-01-11 |
| 1033566062 | Lakisha Dionne Moore Smith | Internal Medicine | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2016-05-19 |
| 1790131951 | Stephen Mitchell Stuart | Internal Medicine | 833 Saint Vincents Dr, Birmingham, AL 35205-1606 | 2016-05-06 |
| 1255754032 | Jack Trigg Jr. | Family Medicine | 833 Saint Vincents Dr, 2, Birmingham, AL 35205-1606 | 2014-01-29 |
| 1740603711 | Alabama Renal Care, P.C. | Clinic/Center | 833 Saint Vincents Dr, Suite 201, Birmingham, AL 35205-1606 | 2014-01-28 |
| 1992136212 | Christine Gronvall | Audiologist-Hearing Aid Fitter | 833 Saint Vincents Dr, Pob 3 Suite 402, Birmingham, AL 35205-1606 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720243421 | Kennieth Charles Mccollough Jr. | Orthopaedic Surgery | 1201 11th Ave S Ste 200, Birmingham, AL 35205 | 2008-07-22 |
| 1619503182 | Timothy Clay Johnson | Orthopaedic Surgery | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2020-03-17 |
| 1578921581 | Stv Sports Medicine and Orthopedics, LLC | Orthopaedic Surgery | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2016-02-04 |
| 1720452428 | Bw Sports Practice, LLC | Orthopaedic Surgery | 13521 Old Highway 280, Ste. 201b, Birmingham, AL 35242-1405 | 2015-11-18 |
| 1255741898 | John Adam Ruder | Orthopaedic Surgery | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 | 2014-05-05 |
| 1003153834 | Jan Kenjiro Vonhoegen | Orthopaedic Surgery | 720 Montclair Rd, Birmingham, AL 35213-1964 | 2013-01-14 |
| 1609131754 | John Joseph Feldman Iv | Orthopaedic Surgery | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 | 2012-07-05 |
| 1508156894 | Amit Mukesh Momaya | Orthopaedic Surgery | 619 19th St S, Birmingham, AL 35249-1900 | 2011-04-08 |
| 1063656858 | Stephen Gould | Orthopaedic Surgery | 1201 11th Ave S Ste 200, Birmingham, AL 35205-3422 | 2009-04-24 |
| 1104947712 | Amanda M Mcannally | Orthopaedic Surgery | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2007-04-02 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
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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.