ORTHOCAROLINA PA (NPI# 1063622470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063622470 |
| Entity Type | Organization |
| Organization Name | ORTHOCAROLINA PA |
| Practice Address |
1450 Matthews Township Pkwy Suite 230 Matthews NC 28105-2387 |
| Mailing Address |
Po Box 403572 Atlanta GA 30384-3572 |
| Practice Telephone | 7043232000 |
| Practice Fax Number | 7043233911 |
| Mailing Telephone | 7043232000 |
| Mailing Fax Number | 7043233911 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | THOMAS F LAYMON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7043232000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334295 | Orthocarolina Pa | Physician Assistant | 101 E Wt Harris Blvd, Suite 1110, Charlotte, NC 28262-3485 | 2007-05-11 |
| 1003020694 | Orthocarolina Pa | Orthopaedic Surgery | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2007-05-10 |
| Street Address |
1450 MATTHEWS TOWNSHIP PKWY SUITE 230 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-2387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273673 | Todd M Kopczynski | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2005-05-23 |
| 1508393927 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-2387 | 2017-05-16 |
| 1932631850 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy, Suite 355, Matthews, NC 28105-2387 | 2017-03-30 |
| 1033566526 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 410, Matthews, NC 28105-2387 | 2016-05-16 |
| 1134506348 | Novant Health Matthews Medical Center | General Acute Care Hospital | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-04-27 |
| 1053705418 | Suzanne Lake | Speech-Language Pathologist | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-03-24 |
| 1386032647 | Leah Miles Alexander | Physician Assistant | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-2387 | 2015-01-08 |
| 1225426976 | Novant Health Matthews Medical Center | General Acute Care Hospital | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-01-05 |
| 1063753325 | Novant Medical Group Inc | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-2387 | 2013-03-12 |
| 1487906590 | Presbyterian Medical Care Corp | Emergency Medicine | 1450 Matthews Township Pkwy, Suite 170, Matthews, NC 28105-2387 | 2012-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| 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 |
|---|---|---|---|---|
| 1639431885 | Paulvalery Roulette | Orthopaedic Surgery | 1401 Matthews Township Pkwy Ste 210, Matthews, NC 28105 | 2012-06-13 |
| 1861474603 | David Norris Dupuy | Orthopaedic Surgery | 710 Park Center Dr, Suite 200, Matthews, NC 28105-5012 | 2005-11-17 |
| 1255689212 | Novant Medical Group | Orthopaedic Surgery | 1401 Matthews Township Pkwy Ste 210, Matthews, NC 28105-5403 | 2012-08-23 |
| 1366763344 | John Ryan Martin | Orthopaedic Surgery | 710 Park Center Dr, Suite 300, Matthews, NC 28105-5081 | 2010-06-14 |
| 1003020694 | Orthocarolina Pa | Orthopaedic Surgery | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2007-05-10 |
| 1518938380 | Matthew A Gullickson | Orthopaedic Surgery | 710 Park Center Dr, Ste 300, Matthews, NC 28105-5012 | 2006-01-30 |
| 1902888308 | James Allen Pressly | Orthopaedic Surgery | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-2387 | 2005-11-19 |
| 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.