ALABAMA STATE UNIVERSITY (NPI# 1205356938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205356938 |
Entity Type | Organization |
Organization Name | ALABAMA STATE UNIVERSITY |
Other Organization Name | ALABAMA STATE SPORTS MEDICINE |
Practice Address |
915 S Jackson St Montgomery AL 36104-5716 |
Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
Practice Telephone | 9723674845 |
Enumeration Date | 2017-06-23 |
Last Update Date | 2017-06-23 |
Authorized Official Name | MOUZON BASS III (AGENT) |
Authorized Official Telephone | 9723674845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
32588 | AL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Alabama State Sports Medicine | Doing Business As Name - Organization |
Street Address |
915 S JACKSON ST |
City | MONTGOMERY |
State | AL |
Zip Code | 36104-5716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487608956 | Greshundria Manik Raines | Occupational Therapist | 915 S Jackson St, Asu, Department of Occupational Therapy, Montgomery, AL 36104-5732 | 2006-05-20 |
1194379685 | Codi Simmons | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5716 | 2019-08-01 |
1730747650 | Travis Coleman | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5716 | 2019-06-05 |
1922572544 | Jacquelyn Aubin Smith | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5714 | 2019-01-16 |
1962985341 | Encore Rehabilitation, Inc. | Physical Therapist | 915 S Jackson St, Montgomery, AL 36104-5716 | 2018-09-11 |
1538685318 | Daquila Washington | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5716 | 2017-08-14 |
1669996047 | Michael Anthony Figueroa Jr. | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5716 | 2017-07-27 |
1104340587 | Colleen Cornish--figueroa | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5716 | 2017-07-27 |
1073914057 | Chris Schepel | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5732 | 2014-09-10 |
1184992570 | Racheal Lawler | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5732 | 2011-12-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518597707 | Henley Counseling LLC | Counselor | 445 Dexter Avenue, Suite 4050, Montgomery, AL 36104 | 2020-01-16 |
1164994489 | Cornwall Transportation LLC | Non-emergency Medical Transport (VAN) | 2 N Jackston St #605, Montgomery, AL 36104 | 2018-12-27 |
1093237661 | Dianna Delane Havard | Speech-Language Pathologist | 602 South Lawrence Street, Montgomery, AL 36104 | 2017-07-14 |
1992149884 | Marshall Eye Care | Optometrist | 241 N Court St Apt H, Montgomery, AL 36104 | 2013-04-22 |
1689923237 | Beryl Sabb | Counselor | 321 North Hull Street, Montgomery, AL 36104 | 2012-08-29 |
1033478318 | William Foster | Social Worker | 207 Montgomery Street, Suite 313, Montgomery, AL 36104 | 2012-05-08 |
1972877363 | William Alex Ward | Driver | 906 South Perry Street, Suite 103, Montgomery, AL 36104 | 2012-03-02 |
1356669915 | Seib Pharmacy | Pharmacy | 101 South Union Street, Montgomery, AL 36104 | 2010-05-06 |
1376797282 | Joseph Anthony Mangini | Family Medicine | 300 S Hull St, Montgomery, AL 36104 | 2008-11-05 |
1154572840 | State of Alabama Department of Public Health | Public Health or Welfare | 201 Monroe Street, Suite 1080, Montgomery, AL 36104 | 2008-10-01 |
Find all providers in zip 36104 |
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 |
---|---|---|---|---|
1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
1720243421 | Kennieth Charles Mccollough Jr. | Orthopaedic Surgery | 1201 11th Ave S Ste 200, Birmingham, AL 35205 | 2008-07-22 |
1013198985 | Graham L. Howorth, M.d., P.C. | Orthopaedic Surgery | 1120 Airport Dr Ste 101, Alexander City, AL 35010-3444 | 2007-11-20 |
1114016060 | Michael Antonio Eslava | Orthopaedic Surgery | 1711 N. Mckenzie Street, Foley, AL 36535 | 2006-10-11 |
1164449518 | Kenneth Wayne Bramlett | Orthopaedic Surgery | 1021 Montgomery Hwy Ste 201, Vestavia Hills, AL 35216-2805 | 2006-07-15 |
1033114327 | Anthony Lynn Tropeano | Orthopaedic Surgery | 209 West Spring Street, Suite 301, Sylacauga, AL 35150-2976 | 2005-06-15 |
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 |
Find all providers with the same taxonomy |
City | MONTGOMERY |
Zip Code | 36104 |
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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.