KERR LAKE ORTHOPAEDICS (NPI# 1720245111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720245111 |
| Entity Type | Organization |
| Organization Name | KERR LAKE ORTHOPAEDICS |
| Practice Address |
120 Charles Rollins Rd Suite 205 Henderson NC 27536-2882 |
| Mailing Address |
120 Charles Rollins Road Suite 205 Henderson NC 27536 |
| Practice Telephone | 2524361314 |
| Mailing Telephone | 2524361314 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | JIM CHATMAN (VICE PRESIDENT FINANCE CFO) |
| Authorized Official Telephone | 2524361101 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARIA PARHAM ANESTHESIA AND PHYSIARTY CTR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 200800411 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
120 CHARLES ROLLINS RD SUITE 205 |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396708434 | Munther S. Tabet | Psychiatry & Neurology | 120 Charles Rollins Rd, Suite 101, Henderson, NC 27536 | 2006-04-10 |
| 1205204583 | Jessica Deal | Nurse Practitioner | 120 Charles Rollins Rd, Suite 201, Henderson, NC 27536-2882 | 2015-09-03 |
| 1821496753 | Dlp Maria Parham Physician Practices, LLC | Midwife | 120 Charles Rollins Rd, Suite 206, Henderson, NC 27536 | 2014-12-09 |
| 1538561865 | Dlp Maria Parham Physician Practices, LLC | Internal Medicine | 120 Charles Rollins Rd, Suite 206, Henderson, NC 27536-2882 | 2014-09-18 |
| 1386990992 | Dlp Maria Parham Physician Practices, LLC | Internal Medicine | 120 Charles Rollins Rd, Suite 206, Henderson, NC 27536-2882 | 2012-08-01 |
| 1932485943 | Dlp Maria Parham Physician Practices, LLC | Family Medicine | 120 Charles Rollins Rd, Suite 206, Henderson, NC 27536-2882 | 2011-10-24 |
| 1891071718 | Dlp Maria Parham Physician Practices, LLC | Orthopaedic Surgery | 120 Charles Rollins Rd, Suite 205, Henderson, NC 27536-2882 | 2011-10-24 |
| 1457522088 | Maria Parham Anesthesia & Physiatry Center Inc. | Orthopaedic Surgery | 120 Charles Rollins Rd, Suite 205, Henderson, NC 27536-2882 | 2008-03-24 |
| 1023295185 | John Jay Faulkner | Family Medicine | 120 Charles Rollins Rd, Suite 106, Henderson, NC 27536-2882 | 2008-01-30 |
| 1649488693 | Lakshmi Kanth Chinappa Nagappa | Surgery | 120 Charles Rollins Rd, Suite 206, Henderson, NC 27536-2882 | 2007-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| 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 |
|---|---|---|---|---|
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1396087623 | Carl Bradley Wallis | Orthopaedic Surgery | 10561 Jeffreys St Ste 230, Henderson, NV 89052-4268 | 2013-03-25 |
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1447480413 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 511 Ruin Road, Suite 106, Henderson, NC 27536-5919 | 2009-07-23 |
| 1588793533 | Caleb Ogden Pinegar | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052-4186 | 2007-03-05 |
| 1033269147 | Michael J Crovetti Jr. | Orthopaedic Surgery | 2779 W. Horizon Ridge Pkwy., Ste. 200, Henderson, NV 89052-4380 | 2007-01-11 |
| 1942243324 | Ronald Curtis Koe | Orthopaedic Surgery | 1710 W. Horizon Ridge Pkwy, Ste 120, Henderson, NV 89012 | 2006-06-14 |
| 1376500181 | Frederick Charles Balduini | Orthopaedic Surgery | 2779 W Horizon Ridge, Ste 200, Henderson, NV 89052-4380 | 2006-04-26 |
| 1104893031 | Frederick Charles Redfern | Orthopaedic Surgery | 1701 N Green Valley Pkwy Ste 4b, Henderson, NV 89074-5886 | 2006-02-28 |
| 1750371233 | John E Herr | Orthopaedic Surgery | 1701 N Green Valley Pkwy Ste 4c, Henderson, NV 89074-5886 | 2005-10-25 |
| Find all providers in HENDERSON | ||||
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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.