SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA (NPI# 1922431535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922431535 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA |
| Other Organization Name | SPORTS MEDICINE & JOINT REPLACEMENT OF GREENSBORO |
| Practice Address |
148 Pointe South Dr Randleman NC 27317-9520 |
| Mailing Address |
201 E Wendover Ave Greensboro NC 27401-1205 |
| Practice Telephone | 3367994433 |
| Practice Fax Number | 3363336441 |
| Mailing Telephone | 3363336443 |
| Mailing Fax Number | 3363336441 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | STEPHEN D LUCEY (PARTNER) |
| Authorized Official Telephone | 3363336443 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | BL 6497209 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sports Medicine & Joint Replacement of Greensboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700210606 | Southeastern Orthopaedic Specialists, Pa | Orthopaedic Surgery | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2013-08-27 |
| 1629012935 | Southeastern Orthopaedic Specialists, Pa | Family Medicine | 1130 N Church St, Suite 100, Greensboro, NC 27401-1008 | 2006-06-16 |
| 1790724706 | Southeastern Orthopaedic Specialists, Pa | Orthopaedic Surgery | 1915 Lendew St, Greensboro, NC 27408-7033 | 2006-06-05 |
| 1225082779 | Southeastern Orthopaedic Specialists, Pa | Orthopaedic Surgery | 300 W Northwood St, Greensboro, NC 27401-6111 | 2006-05-20 |
| Street Address |
148 POINTE SOUTH DR |
| City | RANDLEMAN |
| State | NC |
| Zip Code | 27317-9520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396971438 | Randolph Specialty Group Practice | Physical Therapist | 148 Pointe South Dr, Randleman, NC 27317-9520 | 2009-06-03 |
| 1336595313 | Martie Y Badger | Physical Therapist | 148 Pointe South Dr, Randleman, NC 27317-9520 | 2016-05-10 |
| 1356676076 | Karen Lynn Reddick | Physical Therapist | 148 Pointe South Dr, Randleman, NC 27317-9520 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356629026 | Eric James Ablott | Optometrist | 200 West Academy St, Randleman, NC 27317 | 2011-07-29 |
| 1891960241 | Pine Haven Family Medicine Pa | Family Medicine | 604 West Academy St, Randleman, NC 27317 | 2008-04-28 |
| 1902923139 | Sanford M Cates | Dentist | 107 West Naomi St, Randleman, NC 27317 | 2007-03-23 |
| 1295804417 | Grant James Haviland | Dentist | 215 West Naomi Street, Randleman, NC 27317 | 2006-11-06 |
| 1396763843 | Therapeutic Alternatives Inc | In Home Supportive Care | 4270 Heath Dairy Road, Randleman, NC 27317 | 2006-07-17 |
| 1982676441 | John James Slatosky Jr. | Family Medicine | 604 W Academy St, Randleman, NC 27317 | 2006-02-07 |
| 1598269748 | Carol A Bullard | Nurse Practitioner | 608 W Academy St, Randleman, NC 27317 | 2018-03-22 |
| 1174026058 | Jordan C Mullins | Specialist/Technologist | 201 Hammond St, Randleman, NC 27317-1435 | 2018-03-16 |
| 1992867402 | Ryan E Snipes | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2006-12-14 |
| 1558900035 | Eyecarecenter Od Pa | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2019-12-31 |
| Find all providers in zip 27317 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.