SOUTHLAKE ORTHOPAEDICS - NPI 1043268402 - Orthopaedic Surgery in Birmingham, AL

Q: What is Southlake Orthopaedics Sports Medicine & Spine Center PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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About Southlake Orthopaedics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE ORTHOPAEDICS (NPI 1043268402) is a healthcare organization registered as an orthopaedic surgery in Birmingham, Alabama and active in the NPI registry since May 2006. The organization maintains 2 additional practice locations and lists Michael Frances Blum, President, as its authorized official.

NPPES Registry Identity

NPI1043268402

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameSOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC

Location Address4517 SOUTHLAKE PKWYBirmingham, AL 35244-3280

Mailing Address4517 Southlake PkwyHoover, AL 35244-3280 · (205) 985-4111 · Fax (205) 985-4326

Phone(205) 985-4111

Fax(205) 985-4326

Organization SubpartNo

Authorized OfficialMichael Frances BlumPresident · (205) 985-4111

Enumeration DateMay 5, 2006

Last NPPES UpdateFebruary 10, 20227 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1043268402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

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.

Also ListedSpecialistTaxonomy 174400000X · License 9307 (AL)

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X

Also ListedOrthotistTaxonomy 222Z00000X

Also ListedPedorthistTaxonomy 224L00000X

Also ListedProsthetistTaxonomy 224P00000X

Also ListedOrthotic FitterTaxonomy 225000000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedRadiologic Technologist · Magnetic Resonance ImagingTaxonomy 2471M1202X

Also ListedPhysician AssistantTaxonomy 363A00000X

4517 SOUTHLAKE PKWY, Birmingham, AL 35244

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Other Names 1

Doing Business AsSouthlake Orthopaedics

Secondary Practice Locations 2

Location 14524 Southlake Pkwy Ste 26Hoover, AL 35244-3272 · Phone (205) 329-7566 · Fax (888) 435-9974

Location 23686 Grandview Pkwy Ste 430Birmingham, AL 35243-3404 · Phone (205) 605-8180 · Fax (205) 972-8785

Other Identifiers 2

Medicaid529802230AL

OtherG715AL · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM DOUGLAS SUDDUTH M.D.

Orthopaedic Surgery