Active NPI
Emergeortho, PA
- Orthopaedic Surgery Physician
- Leland, NC
National Provider Identifier
1083061576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- EMERGEORTHO, PA
- Practice address
- 509 Olde Waterford Way
Suite 103
Leland, NC 28451-4125 - Phone
- (910) 332-3800
- NPI assigned
- May 16, 2016
- 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
- Thomas Alva Dimmig, MD
- Title
- President
- Phone
- (919) 220-5255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
509 Olde Waterford Way
Suite 103
Leland, NC 28451-4125
Mailing address
2716 Ashton Dr
Wilmington, NC 28412-2489
Other names 1
- TRIANGLE ORTHOPAEDIC ASSOCIATES, PA
National Provider Directory
National Provider DirectoryLocations
129 McDowell St
Asheville, NC 28801
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495670400000",
"number": "1083061576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 ASHTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLDE WATERFORD WAY",
"address_2": "SUITE 103",
"city": "LELAND",
"state": "NC",
"postal_code": "284514125",
"telephone_number": "910-332-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGEORTHO, PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-16",
"last_updated": "2017-05-25",
"status": "A",
"authorized_official_last_name": "DIMMIG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "ALVA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-220-5255",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TRIANGLE ORTHOPAEDIC ASSOCIATES, PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.