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Opelika Cardiovascular and Associates, P.C.

Details

Name: Opelika Cardiovascular and Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Apr 2006 (19 years ago)
Entity Number: 000-246-676
Register Number: 000246676
County: Lee
Place of Formation: Lee County
Principal Address: OPELIKA, AL
Registered Office Street Address: 107 NORTH 24TH STREETOPELIKA, AL 36801
Registered Office Street Address ZIP Code: 36801
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972558252 2006-05-24 2020-05-07 107 24TH ST, OPELIKA, AL, 368016253, US 107 NORTH 24TH STREET, OPELIKA, AL, 36801, US

Contacts
Phone +1 334-203-1232
Fax 3342034269
Phone +1 334-826-5577
Fax 3348267003

Authorized person
Name MR. MICHAEL L. AIKENS
Role PRESIDENT/MD
Phone 3342031232

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number 19164
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number K837
State AL
Issuer MEDICAID
Number 051533558
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OPELIKA CARDIOVASCULAR ASSOCIATES, P.C. 401(K) PLAN 2016 204592048 2017-10-16 OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621111
Sponsor’s telephone number 3348265577
Plan sponsor’s address 107 NORTH 24TH STREET, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing LISA AIKENS
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing LISA AIKENS
OPELIKA CARDIOVASCULAR ASSOCIATES, P. C. 2016 204592048 2017-10-16 OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621111
Sponsor’s telephone number 3348265577
Plan sponsor’s address 107 NORTH 24TH STREET, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing LISA AIKENS
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing LISA AIKENS
OPELIKA CARDIOVASCULAR ASSOCIATES, P.C. 401(K) PLAN 2015 204592048 2016-09-22 OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621111
Sponsor’s telephone number 3348265577
Plan sponsor’s address 107 NORTH 24TH STREET, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2016-09-22
Name of individual signing LISA AIKENS
Role Employer/plan sponsor
Date 2016-09-22
Name of individual signing LISA AIKENS
OPELIKA CARDIOVASCULAR ASSOCIATES, P.C. 401(K) PLAN 2014 204592048 2015-09-16 OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621111
Sponsor’s telephone number 3348265577
Plan sponsor’s address 107 NORTH 24TH STREET, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing MICHAEL L AIKENS
OPELIKA CARDIOVASCULAR ASSOCIATES, P.C. 401(K) PLAN 2013 204592048 2014-10-06 OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621111
Sponsor’s telephone number 3348265577
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 701, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing MICHAEL L AIKENS
OPELIKA CARDIOVASCULAR ASSOCIATES, P.C. 401(K) PLAN 2012 204592048 2013-06-25 OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621111
Sponsor’s telephone number 3348265577
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 701, OPELIKA, AL, 36801

Plan administrator’s name and address
Administrator’s EIN 204592048
Plan administrator’s name OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C.
Plan administrator’s address 3320 SKYWAY DRIVE, SUITE 701, OPELIKA, AL, 36801
Administrator’s telephone number 3348265577

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing DOTTIE LEWIS
Role Employer/plan sponsor
Date 2013-06-25
Name of individual signing DOTTIE LEWIS
OPELIKA CARDIOVASCULAR ASSOCIATES, P.C. 401(K) PLAN 2011 204592048 2012-05-03 OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621111
Sponsor’s telephone number 3348265577
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 701, OPELIKA, AL, 368017139

Plan administrator’s name and address
Administrator’s EIN 204592048
Plan administrator’s name OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C.
Plan administrator’s address 3320 SKYWAY DRIVE, SUITE 701, OPELIKA, AL, 368017139
Administrator’s telephone number 3348265577

Signature of
Role Plan administrator
Date 2012-05-03
Name of individual signing MICHAEL AIKENS, M.D.
Role Employer/plan sponsor
Date 2012-05-03
Name of individual signing MICHAEL AIKENS, M.D.
OPELIKA CARDIOVASCULAR ASSOCIATES, PC 401(K) PLAN 2010 204592048 2011-06-08 OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-01
Business code 621111
Sponsor’s telephone number 3348265577
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 701, OPELIKA, AL, 368017139

Plan administrator’s name and address
Administrator’s EIN 204592048
Plan administrator’s name OPELIKA CARDIOVASCULAR AND ASSOCIATES, P.C.
Plan administrator’s address 3320 SKYWAY DRIVE, SUITE 701, OPELIKA, AL, 368017139
Administrator’s telephone number 3348265577

Signature of
Role Plan administrator
Date 2011-06-08
Name of individual signing MICHAEL AIKENS, M.D.
Role Employer/plan sponsor
Date 2011-06-08
Name of individual signing MICHAEL AIKENS, M.D.

Agent

Name Role Address
AIKENS, MICHAEL L Agent 2095 WATERCREST DRIVEAUBURN, AL 36830

Incorporator

Name Role Address
AIKENS, MICHAEL L Incorporator 2095 WATERCREST DRIVEAUBURN, AL 36830

Related by officers

AIKENS, MICHAEL L

MLA Land Company, LLC

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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