DR. JOHN ALEX SELDOMRIDGE III (NPI# 1477553691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477553691 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALEX SELDOMRIDGE III |
| Credential | MD |
| Practice Address |
633 Brookdale Dr Suite 300 Statesville NC 28677-3451 |
| Mailing Address |
Po Box 1845 Statesville NC 28687-1845 |
| Practice Telephone | 7048733250 |
| Practice Fax Number | 7048732940 |
| Mailing Telephone | 7048734277 |
| Mailing Fax Number | 7049783549 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2010-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2002-00995 | NC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 00026711 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00326415 | 01 | |
| AL | 051556211 | 05 | |
| NC | 5910969 | 05 |
| Street Address |
633 BROOKDALE DR SUITE 300 |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669959722 | Paige Caroline Smith | Specialist/Technologist | 633 Brookdale Dr, Statesville, NC 28677-3451 | 2018-07-22 |
| 1811350887 | Piedmont Healthcare, Pa | Physical Medicine & Rehabilitation | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3451 | 2016-03-29 |
| 1720220460 | Colby Fagin | Orthopaedic Surgery | 633 Brookdale Dr, Statesville, NC 28677-3451 | 2009-03-26 |
| 1750567467 | Piedmont Healthcare, P.a. | Durable Medical Equipment & Medical Supplies | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 | 2008-01-11 |
| 1568671782 | Harsh Govil | Physical Medicine & Rehabilitation | 633 Brookdale Dr, Suite# 300, Statesville, NC 28677-3451 | 2007-05-22 |
| 1558385294 | Daniel L Cowan | Physician Assistant | 633 Brookdale Dr, Statesville, NC 28677-3451 | 2006-07-26 |
| 1396777066 | Scott C Brandon | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 | 2006-07-06 |
| 1639140643 | Brett L Feldman | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3451 | 2006-01-28 |
| 1043202575 | Byron E Dunaway | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3451 | 2005-08-19 |
| 1427040971 | Jeffrey R Kuhlman | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3451 | 2005-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| 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 |
|---|---|---|---|---|
| 1790873586 | Carolina Orthopedics and Sports Medicine Specialists, Pa | Orthopaedic Surgery | 702 Hartness Rd, Statesville, NC 28677-3425 | 2006-10-10 |
| 1699767350 | Richard W Adams | Orthopaedic Surgery | 770 Hartness Rd, Statesville, NC 28677-3376 | 2005-08-18 |
| 1720220460 | Colby Fagin | Orthopaedic Surgery | 633 Brookdale Dr, Statesville, NC 28677-3451 | 2009-03-26 |
| 1720246341 | Iredell Physician Network LLC | Orthopaedic Surgery | 774 Hartness Rd, Statesville, NC 28677-3376 | 2008-05-30 |
| 1053500785 | Mark B Williamson, Md Pa | Orthopaedic Surgery | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2007-10-18 |
| 1679685929 | Mark Bascom Williamson | Orthopaedic Surgery | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2006-08-31 |
| 1396777066 | Scott C Brandon | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 | 2006-07-06 |
| 1639140643 | Brett L Feldman | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3451 | 2006-01-28 |
| 1447238571 | Robert Ira Saltzman | Orthopaedic Surgery | 770 Hartness Rd, Statesville, NC 28677-4321 | 2006-01-09 |
| 1265415681 | Michael Dennis Getter | Orthopaedic Surgery | 1414 Fern Creek Dr, Statesville, NC 28625-9376 | 2005-11-21 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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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.