SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA (NPI# 1700210606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700210606 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA |
| Other Organization Name | SPORTS MEDICINE & JOINT REPLACEMENT OF GREENSBORO |
| Practice Address |
1130 N Church St Ste 100 Greensboro NC 27401-1041 |
| Mailing Address |
201 E Wendover Ave Greensboro NC 27401-1205 |
| Practice Telephone | 3363752300 |
| Practice Fax Number | 3363752314 |
| Mailing Telephone | 3363752300 |
| Mailing Fax Number | 3363752314 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | DR. ROBERT A WAINER (PARTNER) |
| Authorized Official Telephone | 3363752300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | BL 6497209 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sports Medicine & Joint Replacement of Greensboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922431535 | Southeastern Orthopaedic Specialists, Pa | Orthopaedic Surgery | 148 Pointe South Dr, Randleman, NC 27317-9520 | 2013-08-19 |
| 1629012935 | Southeastern Orthopaedic Specialists, Pa | Family Medicine | 1130 N Church St, Suite 100, Greensboro, NC 27401-1008 | 2006-06-16 |
| 1790724706 | Southeastern Orthopaedic Specialists, Pa | Orthopaedic Surgery | 1915 Lendew St, Greensboro, NC 27408-7033 | 2006-06-05 |
| 1225082779 | Southeastern Orthopaedic Specialists, Pa | Orthopaedic Surgery | 300 W Northwood St, Greensboro, NC 27401-6111 | 2006-05-20 |
| Street Address |
1130 N CHURCH ST STE 100 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851359236 | Rebecca Lyn Bassett | Family Medicine | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2006-05-03 |
| 1447857115 | Blaine K Brown | Physician Assistant | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2020-10-06 |
| 1104439124 | Caroline Nelson Mcbane | Physician Assistant | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2020-08-28 |
| 1255817532 | Angela Andrews | Specialist/Technologist | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2018-07-19 |
| 1083114649 | Morgan Claire Hooks | Specialist/Technologist | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2018-02-20 |
| 1396245999 | Raevin Danielle Harvey | Specialist/Technologist | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2018-02-20 |
| 1639558166 | David J Carroll | Physical Therapist | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2015-05-29 |
| 1144616046 | Patricia Isley | Community Health Worker | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2015-04-08 |
| 1689072969 | Toshinori Sakamoto | Specialist/Technologist | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2014-12-18 |
| 1326308891 | Dax Thattacunnel Varkey | Orthopaedic Surgery | 1130 N Church St Ste 100, Greensboro, NC 27401 | 2012-05-18 |
| 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 |
Please comment or provide details below to improve the information on SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA.
| 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.