ALABAMA STATE UNIVERSITY


Address: 915 S Jackson St, Montgomery, AL 36104-5716
Phone: 9723674845

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
32588 AL Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Alabama State Sports Medicine Doing Business As Name - Organization

Office Location

Street Address 915 S JACKSON ST
City MONTGOMERY
State AL
Zip Code 36104-5716

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City MONTGOMERY
Zip Code 36104

Improve Information

Please comment or provide details below to improve the information on ALABAMA STATE UNIVERSITY.

Dataset Information

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.

Trending Searches