UNIVERSITY OF MONTEVALLO (NPI# 1568864494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568864494 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MONTEVALLO |
| Other Organization Name | MONTEVALLO SPORTS MEDICINE |
| Practice Address |
75 College Dr Station 6060 Montevallo AL 35115-3732 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 2056656602 |
| Practice Fax Number | 9723673451 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | MARCELO GALAFASSI (HEAD ATHLETICS TRAINER) |
| Authorized Official Telephone | 2056656602 |
| Authorized Official Credential | M.S, LAT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Montevallo Sports Medicine | Doing Business As Name - Organization |
| Street Address |
75 COLLEGE DR STATION 6060 |
| City | MONTEVALLO |
| State | AL |
| Zip Code | 35115-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194892273 | Kimberly Ann Moon | Physician Assistant | 75 College Dr, University of Montevallo, Montevallo, AL 35115-3732 | 2006-11-30 |
| 1366084238 | Lolita Kincade | Counselor | 75 College Dr, Station 6385, Bloch 105, Montevallo, AL 35115-3732 | 2019-10-11 |
| 1649672254 | Marcelo Galafassi | Specialist/Technologist | 75 College Dr, Station 6600, Montevallo, AL 35115-3732 | 2014-09-25 |
| 1699174334 | Benjamin J Gearhart | Specialist/Technologist | 75 College Dr, Montevallo, AL 35115-3732 | 2014-08-19 |
| 1396153516 | Lauren Korte | Specialist/Technologist | 75 College Dr, Station 6600, Montevallo, AL 35115-3732 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063555001 | Michael Trent Chadwick | Specialist/Technologist | University of Montevallo, Athletics Station 6602, Montevallo, AL 35115 | 2007-02-15 |
| 1629179239 | Family Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 3990 Hwy 25, Montevallo, AL 35115 | 2006-09-26 |
| 1679088066 | Adrienne Mccollum | Counselor | 711 Wadsworth St Unit 200, Montevallo, AL 35115-3531 | 2017-12-06 |
| 1710005343 | Bobby Ferris Shunnarah | Dentist | 711 Wadsworth St, Montevallo, AL 35115-3531 | 2007-03-26 |
| 1639647886 | Inspire Counseling, LLC | Counselor | 711 Wadsworth St Unit 200, Montevallo, AL 35115-3531 | 2018-11-06 |
| 1821600115 | James Eason Maddox | Pharmacist | 1380 Highland St, Montevallo, AL 35115-3570 | 2020-08-19 |
| 1720064058 | Jonathan C. Merkle | Family Medicine | 33 Salem Rd, Suite 1, Montevallo, AL 35115-3586 | 2005-12-19 |
| 1891257390 | Health Services Inc | Clinic/Center | 33 Salem Rd, Montevallo, AL 35115-3586 | 2019-04-03 |
| 1356535157 | Lister Healthcare Corporation | Internal Medicine | 33 Salem Rd, Suite 2, Montevallo, AL 35115-3586 | 2007-09-05 |
| 1720009962 | Montevallo Family Medicine, LLC | Family Medicine | 33 Salem Rd, Suite 1, Montevallo, AL 35115-3586 | 2006-07-22 |
| Find all providers in zip 35115 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1720243421 | Kennieth Charles Mccollough Jr. | Orthopaedic Surgery | 1201 11th Ave S Ste 200, Birmingham, AL 35205 | 2008-07-22 |
| 1013198985 | Graham L. Howorth, M.d., P.C. | Orthopaedic Surgery | 1120 Airport Dr Ste 101, Alexander City, AL 35010-3444 | 2007-11-20 |
| 1114016060 | Michael Antonio Eslava | Orthopaedic Surgery | 1711 N. Mckenzie Street, Foley, AL 36535 | 2006-10-11 |
| 1164449518 | Kenneth Wayne Bramlett | Orthopaedic Surgery | 1021 Montgomery Hwy Ste 201, Vestavia Hills, AL 35216-2805 | 2006-07-15 |
| 1033114327 | Anthony Lynn Tropeano | Orthopaedic Surgery | 209 West Spring Street, Suite 301, Sylacauga, AL 35150-2976 | 2005-06-15 |
| 1619503182 | Timothy Clay Johnson | Orthopaedic Surgery | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2020-03-17 |
| 1205356938 | Alabama State University | Orthopaedic Surgery | 915 S Jackson St, Montgomery, AL 36104-5716 | 2017-06-23 |
| 1578921581 | Stv Sports Medicine and Orthopedics, LLC | Orthopaedic Surgery | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2016-02-04 |
| 1720452428 | Bw Sports Practice, LLC | Orthopaedic Surgery | 13521 Old Highway 280, Ste. 201b, Birmingham, AL 35242-1405 | 2015-11-18 |
| Find all providers with the same taxonomy | ||||
| City | MONTEVALLO |
| Zip Code | 35115 |
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| 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.