SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC P C (NPI# 1184647323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184647323 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC P C |
| Practice Address |
2950 Highway 78 E Jasper AL 35501-8903 |
| Mailing Address |
Po Box 580 Jasper AL 35502-0580 |
| Practice Telephone | 2052215374 |
| Practice Fax Number | 2053841453 |
| Mailing Telephone | 2052215374 |
| Mailing Fax Number | 2053841453 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-07-12 |
| Authorized Official Name | SHERRIE T. PIKE I (BUSINESS MANAGER) |
| Authorized Official Telephone | 2052215374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529101780 | 05 |
| Street Address |
2950 HIGHWAY 78 E |
| City | JASPER |
| State | AL |
| Zip Code | 35501-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602017 | Erich Wolfe Wouters | Specialist | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2005-07-12 |
| 1457984106 | Baptist Health Centers, LLC | Durable Medical Equipment & Medical Supplies | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2020-02-20 |
| 1134693765 | Bradley Michael Noland | Physician Assistant | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2019-01-16 |
| 1730651480 | Allen Dean Veren | Physician Assistant | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2018-12-19 |
| 1982149951 | Jonathan R Harbin | Physician Assistant | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2016-12-30 |
| 1518228790 | Valerie S Bradford | Massage Therapist | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2012-06-04 |
| 1285945899 | Adam D Kinsaul | Nurse Practitioner | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2010-06-29 |
| 1366456592 | Darcy Matthews Mosley I | Physician Assistant | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2006-07-27 |
| 1588662431 | Gary Nelson Russell | Specialist | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2005-07-13 |
| 1114925237 | Kendall Charles Vague | Specialist | 2950 Highway 78 E, Jasper, AL 35501-8903 | 2005-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194086991 | Sheila Palmiter | Specialist | 2600 Five Corners Rd, Jasper, NY 14855-9756 | 2012-06-07 |
| 1598916553 | Center for Colon and Digestive Care | Specialist | 14 Sammy Mcghee Blvd, Suite 201, Jasper, GA 30143-7721 | 2008-10-08 |
| 1477744464 | Miriam Bryan | Specialist | 5358 W 250n, Jasper, IN 47546-8355 | 2007-08-06 |
| 1710013602 | Lynn Lanier Pearson | Specialist | 208 Craig St, Jasper, TX 75951-4830 | 2007-02-26 |
| 1073655411 | Pinnacle Orthopaedics & Sports Medicine | Specialist | 80 A Interstate South Dr, Jasper, GA 30143 | 2007-02-13 |
| 1215034319 | Jasper Surgical Associates LLC | Specialist | 721 W 13th St Ste 220, Jasper, IN 47546-1817 | 2006-09-20 |
| 1265476592 | Jeffrey Steven Cuomo | Specialist | 2950 Hwy 78 East, Jasper, AL 35501-8903 | 2006-06-16 |
| 1922052885 | Cheryl Lynn Brown | Specialist | 1334 Packard Rd, Jasper, MI 49248-9731 | 2006-05-22 |
| 1770547739 | Bhc - Walker Imaging | Specialist | 302 Blackwell Dairy Rd, Jasper, AL 35504-8406 | 2006-04-14 |
| 1467429043 | Bernard Perkins Kemker Jr. | Specialist | 712 W 13th St, Jasper, IN 47546-1816 | 2006-03-02 |
| Find all providers in JASPER | ||||
Please comment or provide details below to improve the information on SOUTHERN ORTHOPEDIC & SPORTS MEDICINE ASSOC P C.
| 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.