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SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC
NPI 1639746050
Orthopaedic Surgery - Hand Surgery in Hoover, AL

Active since June 04, 2021
7191 CAHABA VALLEY RD, HOOVER, AL 35242(205) 985-4111(205) 267-4411 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 10, 2022, Aug 19, 2021, Jun 4, 2021 (3 updates tracked since 2021).

About Southlake Orthopaedics Sports Medicine And Spine Center, Pc NPPES

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

SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC (NPI 1639746050), doing business as Southlake Orthopaedics, is a healthcare organization registered as a hand surgery in Hoover, Alabama and active in the NPI registry since June 2021. The organization lists Ekkehard Bonatz, Physician, as its authorized official.

NPPES Registry Identity

NPI1639746050
Entity TypeOrganization
Primary Taxonomy207XS0106X
Legal Business NameSOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC
Location Address7191 CAHABA VALLEY RDHoover, AL 35242-6443
Mailing Address4517 Southlake PkwyHoover, AL 35244-3280 · (205) 985-4111
Phone(205) 985-4111
Fax(205) 267-4411
Organization SubpartNo
Authorized OfficialEkkehard BonatzPhysician · (205) 985-4111
Enumeration DateJune 4, 2021
Last NPPES UpdateFebruary 10, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1639746050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
7191 CAHABA VALLEY RD, Hoover, AL 35242
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Other Names 1

Doing Business AsSouthlake Orthopaedics

Other Identifiers 1

Medicaid529802230AL

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 SINGLE 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. SHAWN JASON SMITH M.D.
Internal Medicine
7191 CAHABA VALLEY RD, SUITE 300
BIRMINGHAM, AL 35242
Shelby County (205) 930-2060
KEVIN MICHAEL PITTS LMT,NMT
Massage Therapist
7191 CAHABA VALLEY RD
BIRMINGHAM, AL 35242
Shelby County (205) 408-6510
ONE NINETEEN GI ASC, LLC
Clinic/Center (Ambulatory Surgical)
7191 CAHABA VALLEY RD, SUITE 202
BIRMINGHAM, AL 35242
Shelby County (817) 343-2859
ASHLEY B HIBBARD MSPT
Physical Therapist
7191 CAHABA VALLEY RD
BIRMINGHAM, AL 35242
Shelby County (205) 408-6555
CATHERINE GHOSSEIN MS, RD, LD
Dietitian, Registered
7191 CAHABA VALLEY RD
BIRMINGHAM, AL 35242
Shelby County (205) 408-6590
DR. JOHN FARLEY M.D.
Internal Medicine
7191 CAHABA VALLEY RD, SUITE 300
BIRMINGHAM, AL 35242
Shelby County (205) 930-2060
MARIAH CLOUD STEWART MS, RD, LD
Dietitian, Registered
7191 CAHABA VALLEY RD
BIRMINGHAM, AL 35242
Shelby County (205) 408-6550
SOUTHERN PAIN SPECIALISTS, P.C.
Pain Medicine (Interventional Pain Medicine)
7191 CAHABA VALLEY RD, SUITE 204
BIRMINGHAM, AL 35242
Shelby County (205) 995-9967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southlake Orthopaedics Sports Medicine And Spine Center, PC's NPI number?

The NPI number for Southlake Orthopaedics Sports Medicine And Spine Center, PC is 1639746050. It was assigned to this organization in the NPPES registry on June 4, 2021. The provider is doing business as Southlake Orthopaedics.

Where is Southlake Orthopaedics Sports Medicine And Spine Center, PC located?

Southlake Orthopaedics Sports Medicine And Spine Center, PC is located at 7191 Cahaba Valley Rd, Hoover, AL 35242. The listed phone number is (205) 985-4111.

What is Southlake Orthopaedics Sports Medicine And Spine Center, PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

When was this NPI record last updated?

The NPPES record for Southlake Orthopaedics Sports Medicine And Spine Center, PC was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.