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UNIVERSITY ORTHOPAEDIC CLINIC PC NPI 1760785703


NPI Information

NPI: 1760785703
Provider Name: UNIVERSITY ORTHOPAEDIC CLINIC, PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 01D0301799

Address:
2702 HOSPITAL DRIVE
SUITE 101
NORTHPORT, AL
ZIP 35476
Phone: (205) 345-0192
Get Directions

UNIVERSITY ORTHOPAEDIC CLINIC, PC is an orthopaedic surgery in Northport, 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. UNIVERSITY ORTHOPAEDIC CLINIC, PC NPI is 1760785703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2702 HOSPITAL DRIVE
SUITE 101
NORTHPORT, AL
ZIP 35476-376
Phone: (205) 345-0192
Fax: (205) 247-2194

The provider's authorized official is Donna S Wood .
The authorized official title is Chief Executive Officer and has the following contact phone number (205) 345-0192.

The CLIA number assigned to this NPI record is 01D0301799 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 12/14/2010.


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
1225XH1200XOccupational TherapistHandNo
2363AS0400XPhysician AssistantSurgicalNo
32251X0800XPhysical TherapistOrthopedicNo
4207XS0106XOrthopaedic SurgeryHand SurgeryNo
5207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
6207XX0005XOrthopaedic SurgerySports MedicineNo
7207X00000XOrthopaedic 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
1D482MEDICARE PINALABAMA
2528301220MEDICAIDALABAMA
351036272OTHERALABAMABLUE CROSS BLUE SHIELD

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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