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Contact Information

SOUTHERN ORTHOPEDIC ASSOCIATES, S.C.
4787 ALBEN BARKLEY DRIVE
PADUCAH, KY42002
 Phone: 270-442-9461
 Fax: 270-441-0079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SOUTHERN ORTHOPEDIC ASSOCIATES, S.C.

NPI # 1427165554
LBN Legal business name SOUTHERN ORTHOPEDIC ASSOCIATES, S.C.
Authorized official JAMES DAVIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2006
Last updated 12/02/2015 - About 11 years ago
Identifiers
IL License # 042617215
KY Medicaid 7100080520
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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