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ORTHOPAEDIC AND SPORTS MEDICINE OF MOBILE PC NPI 1528084787


NPI Information

NPI: 1528084787
Provider Name: ORTHOPAEDIC AND SPORTS MEDICINE OF MOBILE, PC
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 01D2000590

Address:
6701 AIRPORT BLVD
D146
MOBILE, AL
ZIP 36608
Phone: (251) 639-7283
Get Directions

ORTHOPAEDIC AND SPORTS MEDICINE OF MOBILE, PC is a sports medicine orthopaedic surgery in Mobile, AL. The provider is 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. ORTHOPAEDIC AND SPORTS MEDICINE OF MOBILE, PC NPI is 1528084787. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6701 AIRPORT BLVD
D146
MOBILE, AL
ZIP 36608-705
Phone: (251) 639-7283
Fax: (251) 639-7460

The provider's authorized official is Wendy A Stuckey .
The authorized official title is Billing Manager and has the following contact phone number (251) 631-3004.

The CLIA number assigned to this NPI record is 01D2000590 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports Medicine13229ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11265410658OTHERALABAMANPI
21083692479OTHERALABAMANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.