NORTHEAST ORTHOPEDICS PA (NPI# 1114987476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114987476 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORTHOPEDICS PA |
| Practice Address |
354 Copperfield Blvd, Ne Concord NC 28025-2402 |
| Mailing Address |
Po Box 1606 Concord NC 28026-6002 |
| Practice Telephone | 7047883155 |
| Practice Fax Number | 7047858302 |
| Mailing Telephone | 7047883155 |
| Mailing Fax Number | 7047858302 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | BRUCE WILLIAM THOMPSON (ADMINISTRATOR) |
| Authorized Official Telephone | 7047883155 |
| Authorized Official Credential | MA MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARTNERS MCARE | 3683 | 01 | |
| RAILROAD MEDICARE | CG1491 | 01 | |
| BCBS | 02666 | 01 | |
| NC | 8902666 | 05 |
| Street Address |
354 COPPERFIELD BLVD, NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1538423496 | Peter Lee Kok | Orthopaedic Surgery | 54 Baker Avenue Ext Ste 200, Concord, MA 01742 | 2012-06-26 |
| 1144249962 | Santi Rao | Orthopaedic Surgery | 2291 Pacheco St, Concord, CA 94520-2015 | 2006-07-19 |
| 1811920796 | Bradley D Crow | Orthopaedic Surgery | 1800 Sutter St Ste 100, Concord, CA 94520-2530 | 2006-07-07 |
| 1538144209 | Robert Alexander Erdin IIi | Orthopaedic Surgery | 200 Medical Park Dr Ste 400, Concord, NC 28025-0939 | 2005-12-14 |
| 1154304194 | James Morgan Loftus | Orthopaedic Surgery | 354 Copperfield Blvd, Concord, NC 28025 | 2005-11-23 |
| 1588656342 | Brockford Herring | Orthopaedic Surgery | 1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025-2414 | 2005-08-18 |
| 1427402783 | Muir Orthopaedic Specialists, A Medical Group, Inc. | Orthopaedic Surgery | 1800 Sutter St, Suite 100, Concord, CA 94520-2563 | 2016-04-22 |
| 1629432281 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025-2414 | 2016-04-11 |
| 1629439963 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 5651 Poplar Tent Rd, Ste 200, Concord, NC 28027-7530 | 2016-03-15 |
| 1497174114 | Alexander Vondra Boiwka | Orthopaedic Surgery | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2014-04-09 |
| Find all providers in CONCORD | ||||
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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.