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University Orthopaedic Clinic, P.C.

Details

Name: University Orthopaedic Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Aug 1977 (47 years ago) (Companies founded in August 1977)
Entity Number: 000-047-104
Register Number: 000047104
Historical Names: Orthopaedic Associates of Tuscaloosa, P.C.
ZIP code: 35476 (Companies in Tuscaloosa, 35476)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 2702 HOSPITAL DRIVE SUITE 101NORTHPORT, AL 35476
Authorized Capital: $4,000
Paid Share Capital: $2,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740583780 2010-12-14 2010-12-14 PO BOX 2447, TUSCALOOSA, AL, 354032447, US 1732 TEMPLE AVE N, FAYETTE, AL, 355551321, US

Contacts

Phone +1 205-345-0192
Fax 2052472194

Authorized person

Name MRS. DONNA S WOOD
Role CHIEF EXECUTIVE OFFICER
Phone 2053450192

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes
Taxonomy Code 363AS0400X - Surgical Physician Assistant
Is Primary No

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 51036272
State AL
Issuer MEDICAID
Number 528301220
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY ORTHOPAEDIC CLINIC P.C. 401K PROFIT SHARING PLAN 2019 630732734 2020-07-20 UNIVERSITY ORTHOPAEDIC CLINIC P.C. 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-08-01
Business code 621111
Sponsor’s telephone number 2052472120
Plan sponsor’s address 2702 HOSPITAL DRIVE, SUITE 101, NORTHPORT, AL, 35476
UNIVERSITY ORTHOPAEDIC CLINIC P.C. 401K PROFIT SHARING PLAN 2018 630732734 2019-07-24 UNIVERSITY ORTHOPAEDIC CLINIC P.C. 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-08-01
Business code 621111
Sponsor’s telephone number 2052472120
Plan sponsor’s address 2702 HOSPITAL DRIVE, SUITE 101, NORTHPORT, AL, 35476

Signature of

Role Plan administrator
Date 2019-07-24
Name of individual signing JULIE L. SMITH
UNIVERSITY ORTHOPAEDIC CLINIC P.C. 401K PROFIT SHARING PLAN 2017 630732734 2018-07-26 UNIVERSITY ORTHOPAEDIC CLINIC P.C. 98
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-08-01
Business code 621111
Sponsor’s telephone number 2052472120
Plan sponsor’s address 2702 HOSPITAL DRIVE, SUITE 101, NORTHPORT, AL, 35476

Signature of

Role Plan administrator
Date 2018-07-26
Name of individual signing JULIE L. SMITH
UNIVERSITY ORTHOPAEDIC CLINIC P.C. 401K PROFIT SHARING PLAN 2016 630732734 2017-06-07 UNIVERSITY ORTHOPAEDIC CLINIC P.C. 111
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-08-01
Business code 621111
Sponsor’s telephone number 2052472120
Plan sponsor’s address 2702 HOSPITAL DRIVE, SUITE 101, NORTHPORT, AL, 35476

Signature of

Role Plan administrator
Date 2017-06-07
Name of individual signing JULIE L. SMITH
UNIVERSITY ORTHOPAEDIC CLINIC P.C. 401K PROFIT SHARING PLAN 2015 630732734 2016-07-25 UNIVERSITY ORTHOPAEDIC CLINIC P.C. 106
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-08-01
Business code 621111
Sponsor’s telephone number 2052472120
Plan sponsor’s address 2702 HOSPITAL DRIVE, SUITE 101, NORTHPORT, AL, 35476

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing JULIE L. SMITH
UNIVERSITY ORTHOPAEDIC CLINIC P.C. 401K PROFIT SHARING PLAN 2014 630732734 2015-10-14 UNIVERSITY ORTHOPAEDIC CLINIC P.C. 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-08-01
Business code 621111
Sponsor’s telephone number 2052472120
Plan sponsor’s address 305 BRYANT DRIVE EAST, TUSCALOOSA, AL, 35401

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing BETTY HIGGINS
UNIVERSITY ORTHOPAEDIC CLINIC P.C. 401K PROFIT SHARING PLAN 2013 630732734 2014-10-10 UNIVERSITY ORTHOPAEDIC CLINIC P.C. 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-08-01
Business code 621111
Sponsor’s telephone number 2052472120
Plan sponsor’s address 305 BRYANT DRIVE EAST, TUSCALOOSA, AL, 35401

Signature of

Role Plan administrator
Date 2014-10-10
Name of individual signing JIMMY NORMAN
UNIVERSITY ORTHOPAEDIC CLINIC P.C. 401K PROFIT SHARING PLAN 2012 630732734 2013-08-05 UNIVERSITY ORTHOPAEDIC CLINIC, P.C. 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-08-01
Business code 621111
Sponsor’s telephone number 2052472120
Plan sponsor’s address 305 BRYANT DRIVE EAST, TUSCALOOSA, AL, 35403

Signature of

Role Plan administrator
Date 2013-08-05
Name of individual signing JIMMY NORMAN

Agent

Name Role Address
SMITH, JULIE L Agent 810 THE TOWNESTUSCALOOSA, AL 35406

Incorporator

Name Role
BOSTON, H CHESTER JR Incorporator
BUCKLEY, JOHN P Incorporator

Events

Event Date Event Type Old Value New Value
1983-04-13 Name Change Orthopaedic Associates of Tuscaloosa, P.C. University Orthopaedic Clinic, P.C.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State