Organization
SOUTHERN ORTHOPEDIC ASSOCIATES, S.C.
Active
Organization
SOUTHERN ORTHOPEDIC ASSOCIATES, S.C.
Active
Other names
ORTHOPEDIC INSTITUTE OF WESTERN KENTUCKY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W DAVIS M.D. (PRESIDENT)
(618) 997-6800
Entity
Organization
Contact information
Practice address
3530 LONE OAK RD, STE A, PADUCAH, KY 42003-5752
(270) 554-0505
(270) 554-0905
Mailing address
510 LINCOLN DR, HERRIN, IL 62948-6334
(618) 997-6800
(618) 998-9124
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36333
KY
332B00000X
Durable Medical Equipment & Medical Supplies
042617215
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100080520
—
KY
Enumeration date
08/29/2005
Last updated
01/10/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up