Healthcare Provider Details

I. General information

NPI: 1942135090
Provider Name (Legal Business Name): UAB STV ORTHOPEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 10TH AVE S STE 200
BIRMINGHAM AL
35205-1248
US

IV. Provider business mailing address

2700 10TH AVE S STE 200
BIRMINGHAM AL
35205-1248
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-7838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: SUMMER TAPPAN
Title or Position: COO
Credential:
Phone: 205-930-2900