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Lindsay Orthopedics, LLC

Details

Name: Lindsay Orthopedics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 18 Mar 2004 (21 years ago) (Companies founded in March 2004)
Date of dissolution: 18 May 2020
Entity Number: 000-698-644
Register Number: 000698644
ZIP code: 35203 (Companies in Jefferson, 35203)
County: Jefferson
Place of Formation: Shelby County
Registered Office Street Address: 505 N 20TH STBIRMINGHAM, AL 35203

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205990793 2006-12-20 2020-08-22 644 2ND ST NE, SUITE 106, ALABASTER, AL, 350078824, US 644 2ND ST NE, SUITE 106, ALABASTER, AL, 350078824, US

Contacts
Phone +1 205-664-4009
Fax 2056640984

Authorized person
Name DR. WILLIAM DAVID LINDSAY
Role OWNER
Phone 2056644009

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 14461
State AL
Is Primary Yes

Other Provider Identifiers
Issuer AETNA PROVIDER NUMBER
Number 4666964
State AL
Issuer STATE LICENSE
Number 14461
State AL
Issuer BCBS-SHELBY
Number 21581-515
State AL
Issuer VIVA PROVIDER NUMBER
Number E45646
State AL
Issuer BCBS-MONTGOMERY
Number 22302-515
State AL
Issuer UNITED HEALTHCARE
Number 0900085
State AL
Issuer BCBS-PRATTVILLE
Number 29218-515
State AL
Issuer BCBS-CLANTON
Number 29389-515
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LINDSAY ORTHOPEDICS, LLC PROFIT SHARING PLAN 2013 200898797 2014-04-10 LINDSAY ORTHOPEDICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2056644009
Plan sponsor’s address 644 SECOND ST NE, SUITE 205, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing W. DAVID LINDSAY, MD
LINDSAY ORTHOPEDICS, LLC PROFIT SHARING PLAN 2012 200898797 2013-06-20 LINDSAY ORTHOPEDICS, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2056644009
Plan sponsor’s address 644 SECOND ST NE, SUITE 205, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing W. DAVID LINDSAY, MD
LINDSAY ORTHOPEDICS, LLC PROFIT SHARING PLAN 2011 200898797 2012-07-17 LINDSAY ORTHOPEDICS, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2056644009
Plan sponsor’s address 644 SECOND ST NE, SUITE 205, ALABASTER, AL, 35007

Plan administrator’s name and address
Administrator’s EIN 200898797
Plan administrator’s name LINDSAY ORTHOPEDICS, LLC
Plan administrator’s address 644 SECOND ST NE, SUITE 205, ALABASTER, AL, 35007
Administrator’s telephone number 2056644009

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing W. DAVID LINDSAY, MD
LINDSAY ORTHOPEDICS, LLC PROFIT SHARING PLAN 2010 200898797 2011-06-09 LINDSAY ORTHOPEDICS, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2056644009
Plan sponsor’s address 644 SECOND ST NE, SUITE 205, ALABASTER, AL, 35007

Plan administrator’s name and address
Administrator’s EIN 200898797
Plan administrator’s name LINDSAY ORTHOPEDICS, LLC
Plan administrator’s address 644 SECOND ST NE, SUITE 205, ALABASTER, AL, 35007
Administrator’s telephone number 2056644009

Signature of
Role Plan administrator
Date 2011-06-09
Name of individual signing W. DAVID LINDSAY, MD

Member

Name Role
LINDSAY, W DAVID Member

Agent

Name Role Address
TYLER, AHRIAN D Agent 505 N 20TH STBIRMINGHAM, AL 35203

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LINDSAY, W DAVID

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TYLER, AHRIAN D

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Related by address

505 N 20TH STBIRMINGHAM, AL 35203

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Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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