TRI-COUNTY ORTHOPEDIC & SPORTS MEDICINE, PA (NPI# 1760441711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760441711 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY ORTHOPEDIC & SPORTS MEDICINE, PA |
| Practice Address |
400 Johnson Ridge Medical Park Elkin NC 28621-2447 |
| Practice Telephone | 3365264500 |
| Practice Fax Number | 3365262324 |
| Mailing Telephone | 3365264500 |
| Mailing Fax Number | 3365262324 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | DR. C. S. WHITMAN IV (PRESIDENT) |
| Authorized Official Telephone | 3365264500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | GROUP BCBS NUMBER | 0281H | 01 |
| NC | 890281H | 05 |
| Street Address |
400 JOHNSON RIDGE MEDICAL PARK |
| City | ELKIN |
| State | NC |
| Zip Code | 28621-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013893 | Courtenay Salisbury Whitman Iv | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2005-06-16 |
| 1396362133 | Asha B Thomas | Occupational Therapist | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2020-06-27 |
| 1346885803 | Linda Xiong | Occupational Therapist | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2019-11-08 |
| 1780239079 | Anthony Curtis Gaither | Physical Therapist | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2019-08-05 |
| 1124504303 | Kaitlyn Nicole Costner | Speech-Language Pathologist | 400 Johnson Ridge Medical Park, Elkin, NC 28621 | 2018-07-11 |
| 1417469867 | Patricia Coe Hoosier | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2017-10-25 |
| 1275812273 | Hugh Chatham Memorial Hospital, Inc | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2011-08-08 |
| 1376863456 | Johnathan Jack Whitaker | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2010-06-11 |
| 1225205818 | Jonathan Reich Snyder | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2008-05-13 |
| 1861487605 | Marc Sheldon Stevens | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2005-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
| 1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
| 1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
| 1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
| 1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
| 1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
| 1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
| 1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
| 1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
| 1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
| Find all providers in zip 28621 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469867 | Patricia Coe Hoosier | Orthopaedic Surgery | 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 | 2017-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902241805 | Ian Al'khafaji | Orthopaedic Surgery | 2719 Reynolda Rd, Winston Salem, NC 27106 | 2013-05-06 |
| 1821354812 | Sunny Patel | Orthopaedic Surgery | 1234 Huffman Mill Rd Dept Of, Burlington, NC 27215 | 2012-04-04 |
| 1174763981 | Brett Andrew Fritsch | Orthopaedic Surgery | Duke Sports Medicine Ctr, 300 Frank Bassett Drive, Durham, NC 27710-0001 | 2009-03-06 |
| 1033366885 | Scotland Orthopedics, Pa | Orthopaedic Surgery | 410 D South Jones Street, Pembroke, NC 28372 | 2008-08-23 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1750542411 | Abby B. Maxwell | Orthopaedic Surgery | 3 Mcdowell St, Suite B, Asheville, NC 28801-4103 | 2008-06-24 |
| 1518130418 | Jeffrey Tweed Spang | Orthopaedic Surgery | University of North Carolina Hospital, Cb# 7055, Chapel Hill, NC 27599-7055 | 2008-04-11 |
| 1184746810 | Kevin Leo Krasinski | Orthopaedic Surgery | 1236 Huffman Mill Rd Ste 1300, Burlington, NC 27215-8700 | 2007-04-04 |
| 1285748970 | Statesville Hma Physician Management, Inc | Orthopaedic Surgery | 340 Signal Hill Dr, Suite A, Statesville, NC 28625-4357 | 2006-08-18 |
| 1467461566 | Timothy Ned Taft | Orthopaedic Surgery | 3154 Bioinformatics Bldg, Cb # 7055 Unc, Chapel Hill, NC 27599-0001 | 2006-08-07 |
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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.