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SOUTHERN ORTHOPEDIC ASSOCIATES SC NPI 1396792412


NPI Information

NPI: 1396792412
Provider Name: SOUTHERN ORTHOPEDIC ASSOCIATES SC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
510 LINCOLN DR
HERRIN, IL
ZIP 62948
Phone: (618) 997-6800
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SOUTHERN ORTHOPEDIC ASSOCIATES SC is an orthopaedic surgery in Herrin, IL. The provider is 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. SOUTHERN ORTHOPEDIC ASSOCIATES SC NPI is 1396792412. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

510 LINCOLN DR
HERRIN, IL
ZIP 62948-334
Phone: (618) 997-6800

The provider's authorized official is John Davis .
The authorized official title is President Orthopedic Surgeon and has the following contact phone number (618) 997-6800.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 10/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3261QP1100XClinic/CenterPodiatricNo
4332B00000XDurable Medical Equipment & Medical Supplies042617215KENTUCKYNo
5363A00000XPhysician AssistantKENTUCKYNo
6207X00000XOrthopaedic Surgery042617215ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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