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1184672453

NPI Code Detail

MEDICARE: DR. MICHAEL WILLIAM CANTRELL M.D.

MEDICARE: DR. MICHAEL WILLIAM CANTRELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	26802	AL
2	207XX0801X	Orthopaedic Trauma Physician	26802	AL
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	26802	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00398095	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51003696	OTHER	AL	BCBS
2	7994787	OTHER	AK	AETNA
3	051537503	OTHER	AL	BCBS
5	51537590	OTHER	AL	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	153089	OTHER	AL	VIVA HEALTH CARE
8	051535171	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1184672453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WILLIAM CANTRELL M.D.

Provider Business Mailing Address
First Line	:	927 FRANKLIN ST SE
Second Line	:	THE ORTHOPAEDIC CENTER
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4306
Country	:	US
Telephone Number	:	256-539-2728
Fax Number	:

Provider Business Practice Location Address
First Line	:	927 FRANKLIN ST SE
Second Line	:	THE ORTHOPAEDIC CENTER
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4306
Country	:	US
Telephone Number	:	256-539-2728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	05/03/2024

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Directions to “ DR. MICHAEL WILLIAM CANTRELL M.D.” Practice Location

Language	Start Address	Practice Location

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