SOUTHERN ORTHOPEDIC ASSOCIATES SC
NPI 1396792412
Orthopaedic Surgery in Herrin, IL

Q: What is Southern Orthopedic Associates Sc's NPI number?

The NPI number for Southern Orthopedic Associates Sc is 1396792412. It was assigned to this organization in the NPPES registry on May 27, 2006.

Q: What is Southern Orthopedic Associates Sc's specialty?

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

Active since May 27, 2006

510 LINCOLN DR, HERRIN, IL 62948(618) 997-6800 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2022, Nov 4, 2019, Mar 6, 2018 and 1 more (4 updates tracked since 2017).

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About Southern Orthopedic Associates Sc NPPES

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

SOUTHERN ORTHOPEDIC ASSOCIATES SC (NPI 1396792412) is a healthcare organization registered as an orthopaedic surgery in Herrin, Illinois and active in the NPI registry since May 2006. The organization lists John Davis, President Orthopedic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1396792412

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameSOUTHERN ORTHOPEDIC ASSOCIATES SC

Location Address510 LINCOLN DRHerrin, IL 62948-6334

Mailing Address510 Lincoln DriveHerrin, IL 62948 · (618) 997-6800 · Fax (618) 998-9124

Phone(618) 997-6800

Organization SubpartNo

Authorized OfficialJohn DavisPresident Orthopedic Surgeon · (618) 997-6800

Enumeration DateMay 27, 2006

Last NPPES UpdateOctober 4, 20224 updates tracked since enumeration

NPPES CertifiedOctober 4, 2022

✔ NPI 1396792412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 042617215

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 ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 042617215 (KY)

Also ListedPhysician AssistantTaxonomy 363A00000X

510 LINCOLN DR, Herrin, IL 62948

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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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.

SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC

Clinic/Center (Ambulatory Surgical)