| Name: | Orthopedic Surgery Specialists, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 23 Oct 2007 (17 years ago) (Companies founded in October 2007) |
| Entity Number: | 000-254-794 |
| Register Number: | 000254794 |
| ZIP code: | 35586 (Companies in Lamar, 35586) |
| County: | Lamar |
| Place of Formation: | Marion County |
| Principal Address: | SULLIGENT, AL |
| Registered Office Street Address: | 55051 HWY 17SULLIGENT, AL 35586 |
| Authorized Capital: | $250 |
| Paid Share Capital: | $10 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952577892 | 2008-04-30 | 2012-01-17 | 1860 US HIGHWAY 43, WINFIELD, AL, 355945062, US | 15243 GREENFIELD DR, SUITE A, ATHENS, AL, 356132899, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 205-487-1111 |
| Fax | 2054871114 |
| Phone | +1 256-233-2332 |
| Fax | 2562163579 |
Authorized person
| Name | MR. JOSEPH PATRICK BOYETT |
| Role | CEO |
| Phone | 2054871111 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | DO-530 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1326199530 |
| State | AL |
| Issuer | BLUE CROSS AND BLUE SHIELD OF AL |
| Number | 51591148 |
| State | AL |
| Name | Role |
|---|---|
| BOYETT, J PATRICK | Incorporator |
| Name | Role |
|---|---|
| WADSWORTH, TIM R | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
