ORTHOPEDIC CENTER PC (NPI# 1992936702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992936702 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC CENTER PC |
| Other Organization Name | SOUTHEASTERN ORTHOPEDIC CENTER |
| Practice Address |
1601 Fair Rd Suite 1100 Statesboro GA 30458-1698 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 9126816747 |
| Mailing Telephone | 9126445300 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-30 |
| Authorized Official Name | MICHAEL W KLEINPETER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeastern Orthopedic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912346263 | Orthopedic Center PC | Specialist | 101 W Mulberry Blvd Ste 140, Pooler, GA 31322-3507 | 2013-06-20 |
| 1477992725 | Orthopedic Center PC | Specialist | 16915 Highway 67 South Suite A, Statesboro, GA 30458 | 2013-06-20 |
| 1669612719 | Orthopedic Center PC | Pain Medicine | 1146 E.g. Miles Parkway, Suite 102, Hinesville, GA 31313-4514 | 2009-03-03 |
| 1356581763 | Orthopedic Center PC | Physician Assistant | 322 East 2nd Avenue, Glenwood, GA 30428 | 2009-02-25 |
| 1225221997 | Orthopedic Center PC | Orthopaedic Surgery | 7 Mallett Way, Bluffton, SC 29910-6064 | 2007-08-24 |
| 1528192846 | Orthopedic Center PC | Orthopaedic Surgery | 601 S. Main St., Glennville, GA 30427 | 2007-03-16 |
| 1447384748 | Orthopedic Center PC | Obstetrics & Gynecology | 209 N. River St., Claxton, GA 30417-1658 | 2007-03-16 |
| 1932233533 | Orthopedic Center PC | Orthopaedic Surgery | 380 Cedar St, Metter, GA 30439-4042 | 2007-03-15 |
| 1285701482 | Orthopedic Center PC | Clinic/Center | 1601 Fair Rd Ste 1100, Statesboro, GA 30458-0801 | 2006-11-30 |
| 1801217849 | Orthopedic Center PC | Specialist | 528 Washington Ave, Sandersville, GA 31082-1971 | 2013-12-18 |
| Street Address |
1601 FAIR RD SUITE 1100 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222456 | Patrick Dorvilus | Internal Medicine | 1601 Fair Rd, Ste 500, Statesboro, GA 30458-1699 | 2005-06-01 |
| 1063929412 | Tattnall Hospital Company, LLC | Neurological Surgery | 1601 Fair Rd, Statesboro, GA 30458-1698 | 2018-01-08 |
| 1598155004 | Tiffany Kreun | Nurse Practitioner | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-1698 | 2015-02-04 |
| 1720499304 | East Georgia Cancer Clinic | Internal Medicine | 1601 Fair Rd, #900, Statesboro, GA 30458-1698 | 2014-05-16 |
| 1487087938 | Lisa S Robinson, Do PC | Internal Medicine | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-1698 | 2013-08-19 |
| 1225201494 | Andrew V Cichelli Md Inc | Psychiatry & Neurology | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-1698 | 2008-04-09 |
| 1205004165 | Britney Leigh Mobley | Physical Therapist | 1601 Fair Rd, Suite 100, Statesboro, GA 30458-1698 | 2008-02-13 |
| 1346420494 | Saraju C Dalsania | Internal Medicine | 1601 Fair Rd, Suite 700, Statesboro, GA 30458-1698 | 2007-11-06 |
| 1629257787 | Michael Anthony Taormina | Psychiatry & Neurology | 1601 Fair Rd, Suite 400, Statesboro, GA 30458-1698 | 2007-10-25 |
| 1073728937 | East Georgia Orthopedic Center, PC. | Specialist | 1601 Fair Rd, Suite 300, Statesboro, GA 30458-1698 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144271107 | Medical Diagnostics of Statesboro LLC | Clinic/Center | 1601 Fair Rd, Suite 1100, Statesboro, GA 30458-1698 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101701 | Clear Imaging LLC | Clinic/Center | 5730 Glenridge Dr Ste T300, Sandy Springs, GA 30328-5871 | 2020-07-07 |
| 1881218964 | American Health Imaging of Georgia LLC | Clinic/Center | 30 Janet Dr, Savannah, GA 31405-5518 | 2020-06-03 |
| 1952948291 | Catching Point Physician Centers, LLC | Clinic/Center | 3333 Old Milton Pkwy Ste G100, Alpharetta, GA 30005-0008 | 2019-12-05 |
| 1447802780 | American Health Imaging of Ga LLC | Clinic/Center | 2851 Washington Rd, Augusta, GA 30909-2131 | 2019-07-16 |
| 1700445582 | American Health Imaging of Ga LLC | Clinic/Center | 4374 Atlanta Hwy Ste 125, Hiram, GA 30141-1852 | 2019-06-06 |
| 1508425380 | American Health Imaging of Ga LLC | Clinic/Center | 796 Church St Ne Ste 100, Marietta, GA 30060-7228 | 2019-06-06 |
| 1588229918 | Synergy Radiology, LLC | Clinic/Center | 6025 Professional Pkwy Ste 104, Douglasville, GA 30134-5610 | 2019-05-01 |
| 1134645351 | M & B Imaging, PC | Clinic/Center | 2485 Jefferson Rd, Athens, GA 30607-1202 | 2017-08-18 |
| 1548785330 | American Health Imaging of Georgia LLC | Clinic/Center | 1103 Fountain Lake Dr, Brunswick, GA 31525-3039 | 2017-08-14 |
| 1164966461 | Pro Radiology, LLC | Clinic/Center | 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2016-12-06 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.