ORTHOCAROLINA, PA (NPI# 1104843978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104843978 |
| Entity Type | Organization |
| Organization Name | ORTHOCAROLINA, PA |
| Practice Address |
15825 Ballantyne Medical Pl Ste 100 Charlotte NC 28277-0745 |
| Mailing Address |
Po Box 602179 Charlotte NC 28260-2179 |
| Practice Telephone | 7043232000 |
| Mailing Telephone | 7043232000 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | BRENT SHEAR (CFO) |
| Authorized Official Telephone | 7043232000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467972927 | Orthocarolina, Pa | Orthopaedic Surgery | 5935 Carnegie Blvd Ste 200, Charlotte, NC 28209-4645 | 2017-06-26 |
| 1881013993 | Orthocarolina, Pa | Physical Therapist | 1205 Mann Drive, Matthews, NC 28105 | 2014-04-16 |
| 1053542852 | Orthocarolina, Pa | Occupational Therapist | 5935 Carnegie Blvd Ste 104, Charlotte, NC 28209-4672 | 2009-07-29 |
| 1497902399 | Orthocarolina, Pa | Orthopaedic Surgery | 8303 University Exec Park Dr, Suite 430, Charlotte, NC 28262-3356 | 2008-08-21 |
| 1275550048 | Orthocarolina, Pa | Orthopaedic Surgery | 703 Comfort Lane, Monroe, NC 28112 | 2006-07-16 |
| 1861419764 | Orthocarolina, Pa | Occupational Therapist | 10315 Hamptons Park Drive, Huntersville, NC 28078 | 2006-07-16 |
| 1427043355 | Orthocarolina, Pa | Orthopaedic Surgery | 19620 W Catawba Ave, Ste 202, Cornelius, NC 28031-4052 | 2005-09-16 |
| 1265095863 | Orthocarolina, Pa | Orthopaedic Surgery | 441 Mcalister Rd Ste 1100a, Lincolnton, NC 28092-4127 | 2019-04-18 |
| 1073068128 | Orthocarolina, Pa | Orthopaedic Surgery | 197 Piedmont Blvd, Suite 111, Rock Hill, SC 29732-1824 | 2016-08-18 |
| 1144774290 | Orthocarolina, Pa | Orthopaedic Surgery | 601 N Elm St, High Point, NC 27262-4331 | 2016-08-06 |
| Street Address |
15825 BALLANTYNE MEDICAL PL STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-0745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780054254 | Andrew William Wittchow | Physician Assistant | 15825 Ballantyne Medical Pl Ste 100, Charlotte, NC 28277-0745 | 2015-09-28 |
| 1922474402 | Elizabeth Blair Hartney | Physical Therapist | 15825 Ballantyne Medical Pl Ste 100, Charlotte, NC 28277-0745 | 2015-08-19 |
| 1689965162 | Alicia Harrison Lazeski | Physical Medicine & Rehabilitation | 15825 Ballantyne Medical Pl Ste 100, Charlotte, NC 28277-0745 | 2011-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| 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 |
|---|---|---|---|---|
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1467972927 | Orthocarolina, Pa | Orthopaedic Surgery | 5935 Carnegie Blvd Ste 200, Charlotte, NC 28209-4645 | 2017-06-26 |
| 1235662198 | Gill Orthopaedics of The Carolinas PC | Orthopaedic Surgery | 10512 Park Rd Ste 203, Charlotte, NC 28210-8476 | 2017-04-07 |
| 1891149910 | David Macknet | Orthopaedic Surgery | 1025 Morehead Medical Dr., Suite 300, Charlotte, NC 28204-2966 | 2016-04-14 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| 1316213747 | David A Feaker Jr. | Orthopaedic Surgery | 4741 Randolph Rd Ste 100, Charlotte, NC 28211-2919 | 2012-03-29 |
| 1326366048 | Michael Ruffolo | Orthopaedic Surgery | 1025 Morehead Medical Dr Ste 300, Department of Orthopaedic Surgery, Charlotte, NC 28204-2966 | 2010-05-05 |
| 1366676454 | Michael Devon Bates | Orthopaedic Surgery | Orthocarolina, 9848 North Tryon Street, Charlotte, NC 28262-2826 | 2009-05-05 |
| 1558510438 | William C Graham | Orthopaedic Surgery | 6300 Carmel Rd Ste 140, Charlotte, NC 28226 | 2008-09-16 |
| Find all providers in CHARLOTTE | ||||
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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.