SOUTHEASTERN ORTHOPAEDIC SPECIALISTS,PA (NPI# 1285687731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285687731 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ORTHOPAEDIC SPECIALISTS,PA |
| Practice Address |
1130 N Church St Suite 100 Greensboro NC 27401-1038 |
| Practice Telephone | 3363752300 |
| Practice Fax Number | 3363752318 |
| Mailing Telephone | 3363752300 |
| Mailing Fax Number | 3363752314 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | ROBERT ALAN WAINER (SENIOR PARTNER) |
| Authorized Official Telephone | 3363752300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEASTERN ORTHOPAEDIC SPECIALISTS,PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890206K | 05 |
| Street Address |
1130 N CHURCH ST SUITE 100 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508859745 | Randy Owen Kritzer | Specialist | 1130 N Church St, Suite 200, Greensboro, NC 27401-1038 | 2005-08-23 |
| 1952854291 | Ashley Elizabeth Strickland | Physical Therapist | 1130 N Church St, Ste 201, Greensboro, NC 27401-1038 | 2016-08-03 |
| 1104279702 | Lisa Beth Price | Occupational Therapist | 1130 N Church St, Suite 201, Greensboro, NC 27401-1038 | 2016-07-19 |
| 1033563556 | Janice Miller Leopold | Occupational Therapist | 1130 N Church St, Ste 201, Greensboro, NC 27401-1038 | 2016-04-21 |
| 1215309224 | Chelsea Grace Setzer | Physical Therapist | 1130 N Church St, Ste 201, Greensboro, NC 27401-1038 | 2015-10-29 |
| 1033581228 | Shawn David Macauley | Technician, Other | 1130 N Church St, Ste 201, Greensboro, NC 27401-1038 | 2015-10-27 |
| 1750750238 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 1130 N Church St, Suite 200, Greensboro, NC 27401-1038 | 2015-09-15 |
| 1912383159 | Derek Kelsey Crane-huston | Physical Therapist | 1130 N Church St, Ste 201, Greensboro, NC 27401-1038 | 2015-08-10 |
| 1336524032 | Carrie Mahoney Schafer | Physical Therapist | 1130 N Church St, Ste 201, Greensboro, NC 27401-1038 | 2015-07-23 |
| 1558741520 | Justin Swenson | Specialist/Technologist | 1130 N Church St, Suite 100, Greensboro, NC 27401-1038 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| 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 |
|---|---|---|---|---|
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1710300819 | Milton B Satcher Jr. | Orthopaedic Surgery | 1042 Olde Chapel Ln, Greensboro, GA 30642-4897 | 2014-01-24 |
| 1477843977 | Jason Patrick Rogers | Orthopaedic Surgery | 3200 Northline Ave Ste 200, Greensboro, NC 27408-7602 | 2011-04-18 |
| 1790095644 | Paul Demars Long | Orthopaedic Surgery | 206 Manchester Pl, Greensboro, NC 27410-6082 | 2010-10-13 |
| 1336451871 | Emmerich Von Haam Jr. | Orthopaedic Surgery | 1040 Cherokee Bluff, Greensboro, GA 30642-4983 | 2010-07-13 |
| 1689700742 | Arthur F. Carter | Orthopaedic Surgery | 1200 E Market St, Greensboro, NC 27401-6058 | 2007-02-25 |
| 1831209295 | James Edmund Mcquillan | Orthopaedic Surgery | 1000 Cowles Clinc Way Ste C-200, Greensboro, GA 30642-5287 | 2006-08-30 |
| 1174569529 | Michael H Handy | Orthopaedic Surgery | 1321 New Garden Rd, Greensboro, NC 27410-2722 | 2006-06-22 |
| 1932152527 | Stephen D Lucey | Orthopaedic Surgery | 200 W Wendover Ave, Greensboro, NC 27401-1307 | 2006-05-18 |
| 1902859523 | Dick R Lavender | Orthopaedic Surgery | 201 E Wendover Ave, Greensboro, NC 27401-1205 | 2006-05-17 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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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.