Timothy  A  Cool    MD
Contract Details
OrthoSports Associates
Facility name
Provider ID
P000002639
NPI
1992765945
Tax ID
275501752
Effective Date
9/28/2011
Last Updated
6/7/2021
Direct Contract
Yes
Term Date
10/13/2015
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
52 Medical Park Drive East Suite 220
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058384747 (Phone)
Billing Details
Address
52 Medical Park Drive East
Suite 220
Chicago, IL 35235
Billing Phone
Specialty Type
Surgery, Orthopedic
Map
Address