JOHN A AZZATO (NPI# 1811914435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811914435 |
| Entity Type | Individual |
| Full Name | JOHN A AZZATO |
| Credential | MD |
| Practice Address |
1513 N Howe St Ste 4 Southport NC 28461-2770 |
| Mailing Address |
Po Box 11505 Southport NC 28461-1505 |
| Practice Telephone | 9108055578 |
| Mailing Telephone | 9108055578 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 20698 | NC | Allopathic & Osteopathic Physicians |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
20698 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 202C00000X | Independent Medical Examiner | 20698 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8912440 | 05 |
| Street Address |
1513 N HOWE ST STE 4 |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| 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 |
|---|---|---|---|---|
| 1043495005 | Novant Medical Group, Inc. | Orthopaedic Surgery | 902 North Howe Street, Southport, NC 28461-3038 | 2008-01-08 |
| 1609876788 | Mark D Foster | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2005-07-29 |
| 1649627126 | Emergeortho, Pa | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2016-05-16 |
| 1265570469 | Thomas B. Kelso II | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2007-02-01 |
| 1609882158 | Gary E Welliver | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2006-08-01 |
| 1427077593 | Michael M Marushack | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461 | 2006-07-19 |
| 1336168400 | Orthowilmington, Pa | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461 | 2006-07-19 |
| 1992772248 | Eric Jon Lescault | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042244 | University of North Carolina At Chapel Hill | Orthopaedic Surgery | 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 | 2020-10-29 |
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1902429863 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 | 2020-05-26 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1649737156 | Mcpc-15, LLC | Orthopaedic Surgery | 2919 Beechtree Dr Ste 3100, Sanford, NC 27330-6934 | 2019-02-21 |
| 1528543295 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 2018-09-28 |
| 1346722865 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2018-08-31 |
| 1760987911 | Unc Rockingham Health Care, Inc. | Orthopaedic Surgery | 520 S Van Buren Rd Ste 2, Eden, NC 27288-5079 | 2018-03-29 |
| Find all providers with the same taxonomy | ||||
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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.