NPI 1942408729 · live from the CMS NPI Registry
Eastern Shore Orthopaedic Center, P.C.
Orthopaedic Surgery in Fairhope, AL. National Provider Identifier 1942408729, active.
NPI record
| NPI | 1942408729 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 912 Plantation Blvd, Fairhope, AL 36532 |
| Practice phone | 251-928-4033 |
| Mailing address | Po Box 1212, Fairhope, AL 36533 |
| Enumerated | July 3, 2007 |
| Last updated | January 13, 2009 |
| Authorized official | John Rodriguez-Feo, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | PTH3108 (AL) |
| Orthopaedic Surgery primary | 207X00000X | 11349 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.