SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. (NPI# 1124460480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124460480 |
| Entity Type | Organization |
| Organization Name | SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. |
| Other Organization Name | SPORTSMED ORTHOPAEDIC SURGERY & SPINE CENTER |
| Practice Address |
1701 Main Ave Sw Suite G Cullman AL 35055-5299 |
| Mailing Address |
4715 Whitesburg Dr Se Huntsville AL 35802-1632 |
| Practice Telephone | 2568815151 |
| Practice Fax Number | 2568803939 |
| Mailing Telephone | 2568815151 |
| Mailing Fax Number | 2568803939 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |
| Authorized Official Name | ERIC JANSSEN (PRESIDENT) |
| Authorized Official Telephone | 2568815151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 16457 | AL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SportsMed Orthopaedic Surgery & Spine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063553741 | Sportsmed Orthopaedic Specialists, P.C. | Orthopaedic Surgery | 2506 Danville Rd Sw Ste 202, Decatur, AL 35603-4232 | 2007-02-08 |
| 1285826636 | Sportsmed Orthopaedic Specialists, P.C. | Physical Therapist | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2007-08-09 |
| Street Address |
1701 MAIN AVE SW SUITE G |
| City | CULLMAN |
| State | AL |
| Zip Code | 35055-5299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964640 | Melanie A Mitchell | Nurse Practitioner | 1701 Main Ave Sw, Suite A, Cullman, AL 35055-5299 | 2005-10-04 |
| 1528673621 | Cullman Pain and Wellness LLC | Anesthesiology | 1701 Main Ave Sw, Cullman, AL 35055-5299 | 2020-09-15 |
| 1871126169 | Donna Wilbanks Chamblee | Specialist/Technologist | 1701 Main Ave Sw, Cullman, AL 35055-5299 | 2020-02-15 |
| 1639723190 | Thaddeus Parker | Occupational Therapist | 1701 Main Ave Sw, Cullman, AL 35055 | 2019-08-01 |
| 1376101147 | Rachel Lovell | Speech-Language Pathologist | 1701 Main Ave Sw, Cullman, AL 35055-5299 | 2019-06-05 |
| 1255872313 | Tara Weaver | Occupational Therapist | 1701 Main Ave Sw, Suite G, Cullman, AL 35055-5299 | 2017-03-09 |
| 1134661440 | Mallory Roberson | Nurse Practitioner | 1701 Main Ave Sw, Suite E, Cullman, AL 35055-5299 | 2016-11-17 |
| 1609223627 | Ariel Tucker | Rehabilitation Practitioner | 1701 Main Ave Sw, Cullman, AL 35055 | 2016-05-19 |
| 1518312271 | Heather Jarmon | Speech-Language Pathologist | 1701 Main Ave Sw, Suite G, Cullman, AL 35055-5385 | 2016-05-02 |
| 1073968350 | Anesthesia Services Associates Pllc | Anesthesiology | 1701 Main Ave Sw, Suite E, Cullman, AL 35055-5299 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482694 | Timothy Brett Hunt | Counselor | 1912 Commerce Avenue Nw, Cullman, AL 35055 | 2018-10-10 |
| 1073017919 | Kaitlin Roberts | Occupational Therapist | 1640 2nd Ave Sw, Cullman, AL 35055 | 2018-03-23 |
| 1922514488 | Dialysis Clinic Inc | Clinic/Center | 208 Broadway Drive, Sw, Cullman, AL 35055 | 2017-12-20 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1003297144 | Thomas Ricky Cosper | Counselor | 1528 Peachtree Lane Ste #104, Cullman, AL 35055 | 2015-06-15 |
| 1053574434 | Joshua Michael Robinson | Dentist | 1851 Main Ave Se, Suite A, Cullman, AL 35055 | 2008-07-07 |
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1982896627 | Ronald Wilson Carter | Dentist | 305 6th Ave Se, Cullman, AL 35055 | 2007-08-16 |
| 1710048640 | Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 408 2nd Avenue Nw, Suite B, Cullman, AL 35055 | 2006-12-13 |
| 1912071150 | Econo Med Inc | Pharmacy | 1824 Main Avenue Sw, Cullman, AL 35055 | 2006-11-20 |
| Find all providers in zip 35055 | ||||
| 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 |
|---|---|---|---|---|
| 1366522856 | Mountain Lake Orthopedics | Orthopaedic Surgery | 1912 Cherokee Ave Sw, Suite 3200, Cullman, AL 35055-5595 | 2006-10-17 |
| 1457468399 | Robert A Ward | Orthopaedic Surgery | 1300 Bridge Creek Dr Ne, Suite B, Cullman, AL 35055-1300 | 2006-08-24 |
| 1952373797 | Don R Hirsbrunner | Orthopaedic Surgery | 1938 Al Highway 157, Suite 101, Cullman, AL 35058-0609 | 2006-02-06 |
| 1174595912 | Vincent F Bergquist Jr. | Orthopaedic Surgery | 1938 Alabama Highway 157, Suite 101, Cullman, AL 35058-0609 | 2006-02-06 |
| 1376922823 | Connor Andrew Ojard | Orthopaedic Surgery | 1800 Al Highway 157 Ste 101, Cullman, AL 35058-1273 | 2015-05-28 |
| 1922188564 | John Eugene Songer | Orthopaedic Surgery | 1800 Al Highway 157, Suite 100, Cullman, AL 35058-1271 | 2006-10-17 |
| 1316054117 | Steven B Fuller | Orthopaedic Surgery | 1908 Cherokee Ave Sw, Cullman, AL 35055-5502 | 2006-08-25 |
| 1073620886 | Alabama Orthopedic Institute, Inc. | Orthopaedic Surgery | 1908 Cherokee Ave Sw, Cullman, AL 35055-5502 | 2006-08-25 |
| 1548377302 | Cullman Spine Institute Inc | Orthopaedic Surgery | 1300 Bridge Creek Dr Ne, Suite B, Cullman, AL 35055-1300 | 2006-08-25 |
| 1891718151 | Orthopedic & Sportsmedicine Specialists of Cullman PC | Orthopaedic Surgery | 1938 Al Highway 157, Suite 101, Cullman, AL 35058-0609 | 2006-07-26 |
| Find all providers in CULLMAN | ||||
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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.