CAROLINA ORTHOPEDIC AND SPORTS MEDICINE, INC - KINSTON (NPI# 1740716059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740716059 |
| Entity Type | Organization |
| Organization Name | CAROLINA ORTHOPEDIC AND SPORTS MEDICINE, INC - KINSTON |
| Practice Address |
701 Doctors Dr Suite N Kinston NC 28501-1589 |
| Practice Telephone | 2825595662 |
| Practice Fax Number | 2525525662 |
| Mailing Telephone | 2825595662 |
| Mailing Fax Number | 2525525662 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | MARK GRAHAM WERTMAN (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 2526342676 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA ORTHOPEDIC AND SPORTS MEDICINE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
701 DOCTORS DR SUITE N |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852353 | Mark D Marilley | Internal Medicine | 701 Doctors Dr, Suite N, Kinston, NC 28501-1584 | 2005-06-24 |
| 1366895880 | Lenoir Physicians Network, LLC | Obstetrics & Gynecology | 701 Doctors Dr, Suite E1, Kinston, NC 28501-1589 | 2016-07-20 |
| 1720447386 | Owen Davis | Physician Assistant | 701 Doctors Dr, Suite G, Kinston, NC 28501-1589 | 2016-02-11 |
| 1104220300 | Lenoir Physicians Network LLC | Psychiatry & Neurology | 701 Doctors Dr, Suite E2, Kinston, NC 28501-1589 | 2014-10-16 |
| 1871993063 | Lenoir Physicians Network LLC | Urology | 701 Doctors Dr, Suite L, Kinston, NC 28501-1589 | 2014-08-26 |
| 1407269426 | Victoria Conway | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2014-06-06 |
| 1962823039 | Dempsey's Long Term Care, LLC | Pharmacy | 701 Doctors Dr, Suite P-2, Kinston, NC 28501-1589 | 2013-12-17 |
| 1376980482 | Mallory Conway Tucker | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2013-05-30 |
| 1639414915 | Kinston Clinic Pharmacy | Pharmacy | 701 Doctors Dr, Suite P, Kinston, NC 28501-1589 | 2012-11-28 |
| 1548512189 | Miranda Grady Hill | Pharmacist | 701 Doctors Dr, Suite P, Kinston, NC 28501-1589 | 2012-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| 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 |
|---|---|---|---|---|
| 1285820068 | Edwin B Cooper, Jr Md Pa | Orthopaedic Surgery | 1001 N Queen St, Kinston, NC 28501-3945 | 2007-09-14 |
| 1467656710 | Lenoir Memorial Hospital Incorporated | Orthopaedic Surgery | 518 Plaza Blvd, Suite 2, Kinston, NC 28501-1604 | 2007-06-12 |
| 1245395441 | Edwin Branan Cooper Jr. | Orthopaedic Surgery | 100 Airport Rd, Kinston, NC 28501-1604 | 2006-12-27 |
| 1104911155 | Scott A Stegbauer | Orthopaedic Surgery | 701 Doctors Dr, Suite G, Kinston, NC 28501-1589 | 2006-10-04 |
| 1811082126 | Richard Allen Huberman | Orthopaedic Surgery | 701 Doctors Dr, Suite G, Kinston, NC 28501-1584 | 2006-10-03 |
| 1114039278 | Charles Henry Classen Jr. | Orthopaedic Surgery | 701 Doctors Dr, Suite G, Kinston, NC 28501-1589 | 2006-08-31 |
| 1831201854 | Kinston Orthopaedic & Sports Medicine Center, P.a. | Orthopaedic Surgery | 701 Doctors Dr, Suite G, Kinston, NC 28501-1584 | 2006-08-31 |
| 1396730883 | Kasselt Bone and Joint Center, P.a. | Orthopaedic Surgery | 2104 N Herritage St, Kinston, NC 28501-2222 | 2005-09-12 |
| 1376538850 | Max Rolf Kasselt | Orthopaedic Surgery | 2104 N Herritage St, Kinston, NC 28501-2222 | 2005-09-12 |
| 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.