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EASTERN SHORE ORTHOPAEDIC CENTER P.C. NPI 1942408729


NPI Information

NPI: 1942408729
Provider Name: EASTERN SHORE ORTHOPAEDIC CENTER, P.C.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
912 PLANTATION BLVD
FAIRHOPE, AL
ZIP 36532
Phone: (251) 928-4033
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EASTERN SHORE ORTHOPAEDIC CENTER, P.C. is an orthopaedic surgery in Fairhope, 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. EASTERN SHORE ORTHOPAEDIC CENTER, P.C. NPI is 1942408729. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

912 PLANTATION BLVD
FAIRHOPE, AL
ZIP 36532-952
Phone: (251) 928-4033
Fax: (251) 928-4032

The provider's authorized official is John A Rodriguez-feo .
The authorized official title is President and has the following contact phone number (251) 928-4033.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 1/13/2009.


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
1225100000XPhysical TherapistPTH3108ALABAMANo
2207X00000XOrthopaedic Surgery11349ALABAMAYes

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
10542830001MEDICARE NSCALABAMA
251094156OTHERALABAMABCBS
3C75483MEDICARE UPINALABAMA
4529400020MEDICAIDALABAMA
551088164OTHERALABAMABCBS
6000088164MEDICARE 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: 4/28/2024

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