SPINE CIN OF RALEIGH LLC (NPI# 1336647619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336647619 |
| Entity Type | Organization |
| Organization Name | SPINE CIN OF RALEIGH LLC |
| Practice Address |
555 Fayetteville St Ste 201-277 Raleigh NC 27601-3030 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| 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 | |
| Y | 207X00000X | Orthopaedic Surgery | NC | Allopathic & Osteopathic Physicians |
| Street Address |
555 FAYETTEVILLE ST STE 201-277 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27601-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386107159 | Snc Care of Nc, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1033672803 | Snc Care of Nc IIi, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1245793009 | Cnc Care of Nc II, LLC | Internal Medicine | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1134682909 | Snc Care of Nc II, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1508329376 | Onc Care of Nc IIi, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1326501198 | Onc Care of Nc, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1912460775 | Onc Care of Nc II, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1679036438 | Cnc Care of Nc, LLC | Internal Medicine | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1932662798 | Cnc Care of Nc IIi, LLC | Internal Medicine | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
| 1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| Find all providers in zip 27601 | ||||
| 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 |
|---|---|---|---|---|
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1669797353 | Tyler Steven Watters | Orthopaedic Surgery | 3001 Edwards Mill Road, Suite 200, Raleigh, NC 27612-5243 | 2010-04-06 |
| 1881740405 | Andre Grant | Orthopaedic Surgery | 3480 Wake Forest Road, Suite 204, Raleigh, NC 27609 | 2007-01-26 |
| 1629127634 | Robert Esposito | Orthopaedic Surgery | 5620 Six Forks Rd Ste 104, Raleigh, NC 27609-8619 | 2007-01-09 |
| 1558313478 | Raleigh Hand To Shoulder Center Pa | Orthopaedic Surgery | 3701 Wake Forest Rd Ste 3100, Raleigh, NC 27609-6832 | 2006-05-17 |
| 1477523876 | Lloyd A Hey | Orthopaedic Surgery | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609 | 2006-01-26 |
| 1417927435 | David Atwell Rendleman IIi | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2006-01-23 |
| 1487647632 | Alfonza Teel | Orthopaedic Surgery | 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612-8105 | 2005-08-23 |
| 1467455832 | Jon Kolkin | Orthopaedic Surgery | 3404 Wake Forest Rd, Ste 303, Raleigh, NC 27609-7341 | 2005-05-31 |
| 1003819434 | James R Post | Orthopaedic Surgery | 3701 Wake Forest Rd, Suite 100, Raleigh, NC 27609-6832 | 2005-05-31 |
| Find all providers in RALEIGH | ||||
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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.