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DECATUR ORTHOPAEDIC CLINIC LLC NPI 1740331347


NPI Information

NPI: 1740331347
Provider Name: DECATUR ORTHOPAEDIC CLINIC, LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1103 16TH AVE SE
DECATUR, AL
ZIP 35601
Phone: (256) 350-0362
Get Directions

DECATUR ORTHOPAEDIC CLINIC, LLC is an orthopaedic surgery in Decatur, AL. The provider is 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. DECATUR ORTHOPAEDIC CLINIC, LLC NPI is 1740331347. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1103 16TH AVE SE
DECATUR, AL
ZIP 35601-595
Phone: (256) 350-0362

The provider's authorized official is Marsha B Buchanan .
The authorized official title is Practice Manager and has the following contact phone number (256) 350-0362.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 5/9/2017.


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
1208100000XPhysical Medicine & RehabilitationNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
32251X0800XPhysical TherapistOrthopedicNo
4207X00000XOrthopaedic SurgeryYes

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
1009932533OTHERALABAMAALABAMA MEDICAID DME
20236360001MEDICARE NSCALABAMA
3CH5919OTHERALABAMAMEDICARE RAILROAD
4D588MEDICARE PINALABAMA
5528600740MEDICAIDALABAMA
6K660MEDICARE PINALABAMA

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: 11/14/2023

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