SOUTHERN ORTHOPAEDIC SURGEONS, LLC (NPI# 1326579582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326579582 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ORTHOPAEDIC SURGEONS, LLC |
| Practice Address |
9 Cambridge Ct Wetumpka AL 36093-1261 |
| Mailing Address |
454 Taylor Rd Montgomery AL 36117-3563 |
| Practice Telephone | 3346139000 |
| Mailing Telephone | 3346139000 |
| Mailing Fax Number | 3345320057 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | ROLAND A HESTER IV (PRESIDENT) |
| Authorized Official Telephone | 3346139000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356563613 | Southern Orthopaedic Surgeons, LLC | Durable Medical Equipment & Medical Supplies | 668 Mcqueen Smith Rd N, Prattville, AL 36066-7511 | 2007-05-03 |
| 1962699611 | Southern Orthopaedic Surgeons, LLC | Durable Medical Equipment & Medical Supplies | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2007-09-26 |
| 1891981197 | Southern Orthopaedic Surgeons, LLC | Durable Medical Equipment & Medical Supplies | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2007-09-20 |
| 1427244722 | Southern Orthopaedic Surgeons, LLC | Durable Medical Equipment & Medical Supplies | 80 Herren Hill Rd, Suite G, Tallassee, AL 36078-1263 | 2007-09-20 |
| 1861432239 | Southern Orthopaedic Surgeons, LLC | Orthopaedic Surgery | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2006-06-07 |
| Street Address |
9 CAMBRIDGE CT |
| City | WETUMPKA |
| State | AL |
| Zip Code | 36093-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295907 | Katrina G Owes | Home Health Aide | 4037 Us Hwy 231, Wetumpka, AL 36093 | 2017-06-27 |
| 1194057554 | Wetumpka Urgent Care LLC | Clinic/Center | 11 Cambridge Drive, Wetumpka, AL 36093 | 2010-02-09 |
| 1376879478 | Ivy Creek of Elmore LLC | Otolaryngology | 53 Cambridge Court, Wetumpka, AL 36093 | 2009-10-23 |
| 1790815249 | Wetumpka Family Dentistry PC | Clinic/Center | 4045 Hwy 231, Wetumpka, AL 36093 | 2007-03-06 |
| 1962552448 | Ronaldo V Dejesus | Internal Medicine | 41 Cambridge Court, Wetumpka, AL 36093 | 2007-01-10 |
| 1538249149 | Bobby Joseph Luster | Chiropractor | 2412 Us Highway 231, Wetumpka, AL 36093-1209 | 2006-10-17 |
| 1942349626 | David Clark Young | Dentist | 4045 Us Highway 231, Wetumpka, AL 36093-1217 | 2007-02-06 |
| 1154784403 | Pharmix Rx LLC | Pharmacy | 66 Village Loop, Wetumpka, AL 36093-1221 | 2016-04-04 |
| 1700307113 | Sabrina Jackson | Home Health Aide | 4037 Us Highway 231 Ste B, Wetumpka, AL 36093-1224 | 2017-07-06 |
| 1427326834 | Clarence Dequan Merckerson | Counselor | 4035 Us Highway 231 Ste F, Wetumpka, AL 36093-1224 | 2011-12-13 |
| Find all providers in zip 36093 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276869 | Eye Partners PC | Durable Medical Equipment & Medical Supplies | 10200 Us Highway 231, Wetumpka, AL 36092-5345 | 2020-08-19 |
| 1619020740 | Quality Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 6251 Us Highway 231, Wetumpka, AL 36092-2831 | 2007-01-20 |
| 1205923786 | Central Alabama Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1647 Coosa River Pkwy, Wetumpka, AL 36092-2103 | 2006-10-06 |
| 1134222862 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 763 Wilson St, Wetumpka, AL 36092-2901 | 2006-09-07 |
| 1104931393 | Bruno's Supermarkets, LLC. | Durable Medical Equipment & Medical Supplies | 4896 Us Highway 231, Wetumpka, AL 36092-3314 | 2006-08-20 |
| 1710908009 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5326 Hwy 231 South, Wetumpka, AL 36092 | 2006-07-21 |
| 1811914104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4538 Us Highway 231, Wetumpka, AL 36092-3333 | 2006-07-16 |
| 1215573837 | B&b's Health Boutique LLC | Durable Medical Equipment & Medical Supplies | 102 Court St, Wetumpka, AL 36092 | 2019-11-19 |
| 1386069755 | Ivy Creek Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 13 Cambridge Ct, Wetumpka, AL 36093-1261 | 2014-02-21 |
| 1902968100 | James Joseph Mracek | Durable Medical Equipment & Medical Supplies | 809 Jackson Trace, Wetumpka, AL 36092 | 2006-12-14 |
| Find all providers in WETUMPKA | ||||
Please comment or provide details below to improve the information on SOUTHERN ORTHOPAEDIC SURGEONS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.