Active NPI
Orthopaedic Specialists of North Carolina, P.a.
- Orthopaedic Surgery Physician
- Henderson, NC
National Provider Identifier
1043421076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A.
- Practice address
- 200 W Parkview Dr Ste B
Henderson, NC 27536-5958 - Phone
- (919) 562-9410
- Fax
- (919) 562-9248
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark William Galland, MD
- Title
- Secretary
- Phone
- (919) 562-9410
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NC | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | NC | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | NC |
Addresses
Primary practice location
200 W Parkview Dr Ste B
Henderson, NC 27536-5958
Mailing address
PO Box 1107
Wake Forest, NC 27588-1107
Phone (919) 562-9410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013RF | Medicaid | NC |
Other names 1
- OrthoNC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2078926 | Orthopaedic Specialists of North Carolina, PA | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
200 W Parkview Dr
#B
Henderson, NC 27536
857 S Beckford Dr
Ste E
Henderson, NC 27536
Phone (252) 430-6500
Interoperability endpoints
- https://api.platform.athenahealth.com/12529/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516060800000",
"number": "1043421076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1107",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275881107",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W PARKVIEW DR STE B",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365958",
"telephone_number": "919-562-9410",
"fax_number": "919-562-9248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2018-01-16",
"status": "A",
"authorized_official_last_name": "GALLAND",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "919-562-9410",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013RF",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OrthoNC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.