WEST ALABAMA ORTHOPAEDIC AND SPORTS MEDICINE, PC (NPI# 1760420384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760420384 |
| Entity Type | Organization |
| Organization Name | WEST ALABAMA ORTHOPAEDIC AND SPORTS MEDICINE, PC |
| Practice Address |
1325 Mcfarland Blvd Suite 102 Northport AL 35476-3270 |
| Mailing Address |
Po Box 840 Northport AL 35476-0840 |
| Practice Telephone | 2053338800 |
| Practice Fax Number | 2053338406 |
| Mailing Telephone | 2053338800 |
| Mailing Fax Number | 2053338406 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | MRS. KATHRYN BANKS PRITCHETT (INSURANCE SPECIALIST) |
| Authorized Official Telephone | 2053304206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 00022472 | AL | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | DO932 | AL | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 00009008 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529923320 | 05 |
| Street Address |
1325 MCFARLAND BLVD SUITE 102 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504336 | Luis Ronald Pernia | Specialist | 1325 Mcfarland Blvd, Suite 201, Northport, AL 35476-3270 | 2005-11-07 |
| 1780034066 | Michael Christopher Jordan | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-16 |
| 1073962833 | Sarah Clos | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-12 |
| 1548643273 | Randi Cheree Melton | Family Medicine | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1316320054 | Amy Lee Wambolt | Student in an Organized Health Care Education/Training Program | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1275926719 | Capstone Health Services Foundation PC | Clinic/Center | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-03-09 |
| 1750798534 | Jessica Hester | Nurse Practitioner | 1325 Mcfarland Blvd, Ste 101, Northport, AL 35476-3262 | 2014-07-14 |
| 1487901369 | Kyle David Adams | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2012-08-09 |
| 1689980484 | Flh, Inc. | Physical Medicine & Rehabilitation | 1325 Mcfarland Blvd, Suite 101, Northport, AL 35476-3270 | 2010-08-31 |
| 1881841500 | April L Coleman | Physician Assistant | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2008-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
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| 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 |
|---|---|---|---|---|
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| 1730126434 | Bony Fields Barrineau | Orthopaedic Surgery | 13166 Bonehindge Drive, Northport, AL 35473-0840 | 2006-06-01 |
| 1457322810 | William M Strassberg | Orthopaedic Surgery | 36 Sailors Blf, Northport, ME 04849-3063 | 2006-02-01 |
| 1700095346 | Bryan R. King | Orthopaedic Surgery | 3515 Watermelon Rd, Northport, AL 35473-5174 | 2007-05-21 |
| 1093890329 | Jeffrey Goldstein | Orthopaedic Surgery | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053342 | Bayside Orthopaedic & Rehabilitation Center, P.C. | Orthopaedic Surgery | 101 E 15th Ave Ste B, Gulf Shores, AL 36542-3501 | 2020-04-30 |
| 1053954941 | Orthosports Associates, LLC | Orthopaedic Surgery | 41 Eminence Way, Pell City, AL 35128 | 2019-10-23 |
| 1710520192 | Orthosports Associates, LLC | Orthopaedic Surgery | 7191 Cahaba Valley Rd Ste 200b, Birmingham, AL 35242-6443 | 2019-10-18 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1356872691 | University of North Alabama | Orthopaedic Surgery | 1 Harrison Plz, Self Field House, Florence, AL 35632-0002 | 2017-03-27 |
| 1316480718 | Bramlett Orthopaedic LLC | Orthopaedic Surgery | 200 Montgomery Hwy Ste 200, Vestavia, AL 35216-1896 | 2016-12-02 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| 1619330719 | Zachary Davis Moore | Orthopaedic Surgery | 3421 Medical Park Dr # 2, Mobile, AL 36693-3330 | 2016-04-05 |
| 1811350481 | Mark Alan Prevost II | Orthopaedic Surgery | 3421 Medical Park Dr # 2-221, Mobile, AL 36693-3330 | 2016-03-31 |
| 1902264161 | Orthosports Associates, LLC | Orthopaedic Surgery | 7067 Verterans Parkway, 200, Pell City, AL 35125-9368 | 2016-02-03 |
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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.