ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A. (NPI# 1043421076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043421076 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A. |
| Other Organization Name | ORTHONC |
| Practice Address |
200 W Parkview Dr Ste B Henderson NC 27536-5958 |
| Mailing Address |
Po Box 1107 Wake Forest NC 27588-1107 |
| Practice Telephone | 9195629410 |
| Practice Fax Number | 9195629248 |
| Mailing Telephone | 9195629410 |
| Mailing Fax Number | 9195622948 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-01-16 |
| Authorized Official Name | MARK WILLIAM GALLAND (SECRETARY) |
| Authorized Official Telephone | 9195629410 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
NC | Allopathic & Osteopathic Physicians | |
| N | 208100000X | Physical Medicine & Rehabilitation | NC | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89013RF | 05 |
| Other Name | Type Code |
|---|---|
| OrthoNC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225336548 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 401 Keisler Dr Ste 101, Cary, NC 27518-7084 | 2011-03-10 |
| 1447553870 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 | 2010-12-07 |
| 1437488467 | Orthopaedic Specialists of North Carolina, P.a. | Physical Medicine & Rehabilitation | 101 Conner Dr Ste 200, Chapel Hill, NC 27514-7038 | 2009-12-22 |
| 1548778285 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 103 Professional Park Ste A, Oxford, NC 27565-2581 | 2018-01-16 |
| 1922390913 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2011-05-09 |
| 1114226727 | Orthopaedic Specialists of North Carolina, P.a. | Physical Therapist | 11200 Galleria Ave, Raleigh, NC 27614-8137 | 2011-03-22 |
| 1174848873 | Orthopaedic Specialists of North Carolina, P.a. | Physical Therapist | 11200 Governor Manly Way Ste 305, Raleigh, NC 27614-7383 | 2010-04-06 |
| 1275858680 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 847 Wake Forest Business Park, Suite 202, Wake Forest, NC 27587-6575 | 2010-03-30 |
| 1346564986 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 6602 Knightdale Blvd Ste 310, Knightdale, NC 27545-6526 | 2010-03-25 |
| 1659695492 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 10010 Falls of Neuse Rd, Suite 200, Raleigh, NC 27614-8494 | 2010-03-23 |
| Street Address |
200 W PARKVIEW DR STE B |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-5958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1396087623 | Carl Bradley Wallis | Orthopaedic Surgery | 10561 Jeffreys St Ste 230, Henderson, NV 89052-4268 | 2013-03-25 |
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1447480413 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 511 Ruin Road, Suite 106, Henderson, NC 27536-5919 | 2009-07-23 |
| 1588793533 | Caleb Ogden Pinegar | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052-4186 | 2007-03-05 |
| 1033269147 | Michael J Crovetti Jr. | Orthopaedic Surgery | 2779 W. Horizon Ridge Pkwy., Ste. 200, Henderson, NV 89052-4380 | 2007-01-11 |
| 1942243324 | Ronald Curtis Koe | Orthopaedic Surgery | 1710 W. Horizon Ridge Pkwy, Ste 120, Henderson, NV 89012 | 2006-06-14 |
| 1376500181 | Frederick Charles Balduini | Orthopaedic Surgery | 2779 W Horizon Ridge, Ste 200, Henderson, NV 89052-4380 | 2006-04-26 |
| 1104893031 | Frederick Charles Redfern | Orthopaedic Surgery | 1701 N Green Valley Pkwy Ste 4b, Henderson, NV 89074-5886 | 2006-02-28 |
| 1750371233 | John E Herr | Orthopaedic Surgery | 1701 N Green Valley Pkwy Ste 4c, Henderson, NV 89074-5886 | 2005-10-25 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.