GOLDSBORO ORTHOPEDICS, LLC (NPI# 1659640761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659640761 |
| Entity Type | Organization |
| Organization Name | GOLDSBORO ORTHOPEDICS, LLC |
| Other Organization Name | GOLDSBORO ORTHPAEDIC ASSOCIATES, P.A, |
| Practice Address |
2808 Mclamb Pl Goldsboro NC 27534-1600 |
| Mailing Address |
Po Box 1717 Goldsboro NC 27533-1717 |
| Practice Telephone | 9195874081 |
| Practice Fax Number | 9195870775 |
| Mailing Telephone | 9195874081 |
| Mailing Fax Number | 9195870775 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | CLYDE LOUIS THOMAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9195874081 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE HEALTH PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Goldsboro Orthpaedic Associates, P.A, | Former Legal Business Name - Organization |
| Street Address |
2808 MCLAMB PL |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508846569 | Hector Manuel Pedraza | Orthopaedic Surgery | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-01-18 |
| 1427538446 | Angelo Thompson | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-20 |
| 1487134888 | Katina Ann Holland-rhudy | Occupational Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-16 |
| 1770063083 | Meredith Kelly | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-16 |
| 1659851152 | Marvin Lee Spicer IIi | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-15 |
| 1720504178 | Andrew Mcknight | Physician Assistant | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2017-08-17 |
| 1417253204 | Robin Lear Dawson | Physician Assistant | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2011-01-27 |
| 1124283783 | Michael Loren Smith | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2008-07-23 |
| 1710912191 | George W Eason | Radiology | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-07-12 |
| 1184656936 | Atlantic Radiology Associates Pa | Radiology | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| 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 |
|---|---|---|---|---|
| 1508846569 | Hector Manuel Pedraza | Orthopaedic Surgery | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-01-18 |
| 1497735831 | Laurence Davis Frederick IIi | Orthopaedic Surgery | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-01-20 |
| 1750361747 | William De Araujo | Orthopaedic Surgery | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042244 | University of North Carolina At Chapel Hill | Orthopaedic Surgery | 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 | 2020-10-29 |
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1902429863 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 | 2020-05-26 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1649737156 | Mcpc-15, LLC | Orthopaedic Surgery | 2919 Beechtree Dr Ste 3100, Sanford, NC 27330-6934 | 2019-02-21 |
| 1528543295 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 2018-09-28 |
| 1346722865 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2018-08-31 |
| 1760987911 | Unc Rockingham Health Care, Inc. | Orthopaedic Surgery | 520 S Van Buren Rd Ste 2, Eden, NC 27288-5079 | 2018-03-29 |
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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.