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Orthopedic Group of Birmingham, P.C.

Details

Name: Orthopedic Group of Birmingham, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Exists
Date of registration: 14 Nov 1977 (47 years ago)
Entity Number: 000-048-560
Register Number: 000048560
Historical Names: Richard A. Elkus, M.D., P.A.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 1400 SOUTH 19TH STREETBIRMINGHAM, AL 35205
Principal Address ZIP Code: 35205

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639237936 2006-12-05 2008-04-07 1400 SOUTH 19TH STREET, BIRMINGHAM, AL, 35205, US 1400 SOUTH 19TH STREET, BIRMINGHAM, AL, 35205, US

Contacts
Phone +1 205-939-0610
Fax 2059309134

Authorized person
Name MARK ALAN ELKUS
Role PHYSICIAN
Phone 2059390610

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number 00024049
State AL
Is Primary Yes
Taxonomy Code 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
License Number 00024049
State AL
Is Primary No
Taxonomy Code 207XX0801X - Orthopaedic Trauma Physician
License Number 00024049
State AL
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number EL009926035
State AL
Issuer BLUE CROSS- BLUE SHIELD
Number 51553670
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2023 630736962 2024-10-02 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2022 630736962 2023-09-28 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2021 630736962 2022-08-22 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2020 630736962 2021-11-30 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2019 630736962 2021-01-29 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2018 630736962 2020-01-10 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2017 630736962 2018-12-07 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2016 630736962 2018-01-18 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205
ORTHOPEDIC GROUP OF BIRMINGHAM P. C. 401(K) PROFIT SHARING PLAN 2015 630736962 2017-04-11 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2017-04-11
Name of individual signing MARK A. ELKUS, M.D.
ORTHOPEDIC GROUP OF BIRMINGHAM, P.C. 401(K) PROFIT SHARING PLAN 2014 630736962 2016-04-18 ORTHOPEDIC GROUP OF BIRMINGHAM, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2059390610
Plan sponsor’s address 1400 19TH STREET SOUTH, BIRMINGHAM, AL, 35205

Member

Name Role
ELKUS, RICHARD A Member

Events

Event Date Event Type Old Value New Value
2003-06-25 Name Change Richard A. Elkus, M.D., P.A. Orthopedic Group of Birmingham, P.C.

Related by officers

ELKUS, RICHARD A

Pediatric Specialty Care, Inc. Orthopaedic Alliance, L.L.C.

Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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