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SOUTHERN ORTHOPEDIC ASSOCIATES S.C. NPI 1740598390


NPI Information

NPI: 1740598390
Provider Name: SOUTHERN ORTHOPEDIC ASSOCIATES, S.C.

Doing Business As: ORTHOPEDIC INSTITUTE OF WESTERN KENTUCKY

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3530 LONE OAK RD
SUITE A
PADUCAH, KY
ZIP 42003
Phone: (270) 554-0505
Get Directions

SOUTHERN ORTHOPEDIC ASSOCIATES, S.C. is an orthopaedic surgery in Paducah, KY. 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. SOUTHERN ORTHOPEDIC ASSOCIATES, S.C. NPI is 1740598390. The provider is registered as an organization entity type.
The provider Is Doing Business As Orthopedic Institute Of Western Kentucky.

The provider's business location address is:

3530 LONE OAK RD
SUITE A
PADUCAH, KY
ZIP 42003-752
Phone: (270) 554-0505
Fax: (270) 554-0905

The provider's authorized official is Thomas West Davis .
The authorized official title is President and has the following contact phone number (618) 997-6800.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/30/2010.


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
1332B00000XDurable Medical Equipment & Medical Supplies042617215ILLINOISNo
2207X00000XOrthopaedic Surgery042.617215ILLINOISYes

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
14216620003MEDICARE NSCKENTUCKY

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

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