NPI Database
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Contact Information

ORTHOCAROLINA
178 HIGHWAY 105 EXT
SUITE 102
BOONE, NC28607-5254
 Phone: 704-323-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ORTHOCAROLINA

NPI # 1710255443
LBN Legal business name ORTHOCAROLINA
Authorized official BRENT SHEAR - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2011
Last updated 12/08/2011 - About 14 years ago
Identifiers
NC License # 38865
NC Medicaid 8901619
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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