Provider Demographics
NPI:1033267471
Name:ALABAMA ORTHOPAEDIC SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:ALABAMA ORTHOPAEDIC SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, FACHE
Authorized Official - Phone:334-274-9116
Mailing Address - Street 1:PO BOX 235003
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36123-5003
Mailing Address - Country:US
Mailing Address - Phone:334-274-9000
Mailing Address - Fax:334-274-0857
Practice Address - Street 1:4294 LOMAC ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3604
Practice Address - Country:US
Practice Address - Phone:334-274-9000
Practice Address - Fax:334-274-0857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1619954153OtherPROVIDER NPI
D564Medicare PIN
K568Medicare PIN
H431Medicare PIN
J030Medicare PIN
1619954153OtherPROVIDER NPI
I048Medicare PIN
H430Medicare PIN
H429Medicare PIN