UNIVERSITY OF MONTEVALLO
NPI 1568864494
Orthopaedic Surgery - Sports Medicine in Montevallo, AL
NPI Status: Active since September 23, 2014
Contact Information
75 COLLEGE DR
STATION 6060
MONTEVALLO, AL
ZIP 35115
Phone: (205) 665-6602
Fax: (205) 665-6614
- Organization
- Orthopaedic Surgery
- Sports Medicine
- CLIA Number: 01D0906698
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 10-03-2025
About UNIVERSITY OF MONTEVALLO
This page provides the complete NPI Profile along with additional information for University Of Montevallo, a provider established in Montevallo, Alabama operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1568864494 assigned on September 2014. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1568864494
- Provider Legal Name
- UNIVERSITY OF MONTEVALLO
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 75 COLLEGE DR STATION 6060 MONTEVALLO, AL 35115
- Location Phone
- (205) 665-6602
- Location Fax
- (205) 665-6614
- Mailing Address
- 75 COLLEGE DR STATION 6602 MONTEVALLO, AL 35115
- Mailing Phone
- (205) 665-6602
- Mailing Fax
- (205) 665-6614
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-23-2014
- Last Update Date
- 03-05-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 2080S0010X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D0906698
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- October 04, 2023
- Certificate Expiration Date
- October 03, 2025
- Laboratory Director
- KIM MOON PA-C
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to University Of Montevallo to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 6 | 8 | 8 | 6 | 4 | 4 | 9 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 12 | 8 | 16 | 6 | 8 | 4 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 2 + 8 + 1 + 6 + 6 + 8 + 4 + 1 + 8 + 24 = 76 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 76 = 4 | 4 |
The NPI number 1568864494 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1699174334 | MR. BENJAMIN J GEARHART ATC, LAT, MED. Individual | Specialist/Technologist (Athletic Trainer) | 75 COLLEGE DR MONTEVALLO, AL 35115 (812) 603-4434 |
1649672254 | MARCELO GALAFASSI ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 75 COLLEGE DR STATION 6600 MONTEVALLO, AL 35115 (205) 665-6602 |
1194892273 | MRS. KIMBERLY ANN MOON PA-C Individual | Physician Assistant | 75 COLLEGE DR UNIVERSITY OF MONTEVALLO MONTEVALLO, AL 35115 (205) 665-6275 |
1649922337 | CAITLYNN MARIANNE EMICK Individual | Specialist/Technologist (Athletic Trainer) | 75 COLLEGE DR MONTEVALLO, AL 35115 (205) 665-6000 |
1235565466 | MAUREEN KRAUSS GREGORY LAT ATC Individual | Specialist/Technologist (Athletic Trainer) | 75 COLLEGE DR MONTEVALLO, AL 35115 (484) 903-6357 |
1366084238 | DR. LOLITA KINCADE Individual | Counselor | 75 COLLEGE DR STATION 6385, BLOCH 105 MONTEVALLO, AL 35115 (205) 665-6382 |
1548914377 | ERICA TYLER MORRISON PA-C Individual | Physician Assistant | 75 COLLEGE DR MONTEVALLO, AL 35115 (205) 665-6275 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568864494, enumerated in the NPI registry as an "organization" on September 23, 2014
The provider is located at 75 College Dr Station 6060 Montevallo, Al 35115 and the phone number is (205) 665-6602
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine
The provider's CLIA number is 01D0906698 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 23, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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