Provider Demographics
NPI:1043388374
Name:DECATUR ORTHOPAEDICS SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:DECATUR ORTHOPAEDICS SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SOLORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-318-8811
Mailing Address - Street 1:PO BOX 5776
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-0776
Mailing Address - Country:US
Mailing Address - Phone:256-353-8811
Mailing Address - Fax:256-301-6196
Practice Address - Street 1:3402 VESTAVIA CIR SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-4604
Practice Address - Country:US
Practice Address - Phone:256-318-8811
Practice Address - Fax:256-350-3632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2013-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13433207X00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009972325Medicaid
AL529905110Medicaid
AL051060664OtherBCBS DECATUR OFFICE
AL529905120Medicaid
AL000060664Medicaid
AL000092359Medicaid
AL051092359OtherBCBS HARTSELLE OFFICE
AL0719500001Medicare NSC
AL051092359OtherBCBS HARTSELLE OFFICE
AL000060664Medicare ID - Type UnspecifiedMEDICARE DECATUR OFFICE
AL529905120Medicaid