Southeastern Orthopaedic Specialists PA
A Medicare group practice based in Greensboro, NC: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4587568472), with 31 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4587568472
- Provider type
- DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice, Part B Supplier - Physical/Occupational Therapy Group in Private Practice
- Enrolled in
- NC
- Enrollments
- 4
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031121000719 | NC | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1790724706 |
| O20040225000980 | NC | Part B Supplier - Clinic/Group Practice | 1790724706 |
| O20100930074750 | NC | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1629012935 |
| O20100930045296 | NC | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1790724706 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southeastern Orthopaedic Specialists, PA
dba Murphy Wainer Orthopedic Specialists
- Orthopaedic Surgery Physician
- Greensboro, NC
- NPI 1629012935
-
Southeastern Orthopaedic Specialists, PA
dba Guilford Orthopaedic & Sports Medicine Ctr
- Orthopaedic Surgery Physician
- Greensboro, NC
- NPI 1790724706
-
Southeastern Orthopaedic Specialists, PA
dba Sports Medicine & Joint Replacement of Greensboro
- Orthopaedic Surgery Physician
- Greensboro, NC
- NPI 1700210606
-
Southeastern Orthopaedic Specialists,PA
- Orthopaedic Surgery Physician
- Greensboro, NC
- NPI 1285687731
Practice locations
- Greensboro, NC5
- Eden, NC1
Clinicians 31
Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (6).
-
Courtnay Willcox Bloomer, M.D.
- Neuroradiology Physician
- Walnut Creek, CA
- NPI 1093764565
-
Brittney Brown, PA-C
- Physician Assistant
- Boulder, CO
- NPI 1659738912
-
Gilbert W Clark, PA-C
- Physician Assistant
- Greensboro, NC
- NPI 1629023338
-
Thomas Louis D'Alessio, MD
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1467499608
-
William Tessin Derry, MD
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1669761698
-
Frantz Joseph Kerwin Dor, OTR/L
- Occupational Therapist
- Folsom, PA
- NPI 1235721093
-
Zelma Angelique Estrada-Womack, DPT
- Physical Therapist
- Peachtree Corners, GA
- NPI 1891529533
-
Peter Mark Gallerani, PHYSICIAN
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1679564355
-
Thomas Gisin
- Physical Therapist
- Bluffton, SC
- NPI 1568006690
-
Allen Thomas Grady, M.D.
- Neuroradiology Physician
- Greensboro, NC
- NPI 1508031253
-
Harold Lee Hall III, MD
- Neuroradiology Physician
- Greensboro, NC
- NPI 1942415567
-
Jeremy Johnson, P.A.-C
- Physician Assistant
- Greensboro, NC
- NPI 1306263603
-
Jesse James Ray Jordan, PA-C
- Physician Assistant
- Greensboro, NC
- NPI 1699497008
-
Walter Dickinson Liebkemann, MD
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1376526434
-
Austin Macfarland Looney, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Atlanta, GA
- NPI 1609230689
-
Henry Calvin Martensen III, PA-C
- Physician Assistant
- South Portland, ME
- NPI 1669836300
-
Christopher Wayne Mattern, MD
- Neuroradiology Physician
- Greensboro, NC
- NPI 1780669242
-
James Heath Maxwell, MD
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1235113911
-
Benjamin William McClintock, M.D.
- Neuroradiology Physician
- Greensboro, NC
- NPI 1851568489
-
Kayla J McKenzie, PA-C
- Physician Assistant
- Greensboro, NC
- NPI 1962754440
-
Garrett Scott Naze, DPT
- Physical Therapist
- Hagerstown, MD
- NPI 1053542126
-
Andrew Nida
- Physician Assistant
- High Point, NC
- NPI 1740670199
-
Steven Robert Olson, MD
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1861476053
-
Hetal Patel, M.D.
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1427265537
-
Eric Kinsey Phillips, PA-C
- Physician Assistant
- Greensboro, NC
- NPI 1679734206
-
Amber L Porterfield, PA
- Surgical Physician Assistant
- Greensboro, NC
- NPI 1023361649
-
Melanie Bernadette Sanford, M.D.
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1336359199
-
Mark Edward Shogry, MD
- Neuroradiology Physician
- Greensboro, NC
- NPI 1740238740
-
Mary Lindsey Stanbery, PA-C
- Physician Assistant
- Greensboro, NC
- NPI 1174925952
-
Robert A Wainer, MD
- Orthopaedic Surgery Physician
- Greensboro, NC
- NPI 1356387047
-
Jonathan Michael Watts, M.D.
- Neuroradiology Physician
- Bristol, TN
- NPI 1487882528
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.