Organization Active NPI

Carolina Orthopaedic Surgery Associates, P.a.

  • Orthopaedic Surgery Physician
  • Rock Hill, SC
National Provider Identifier
1104917400
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11477 Issued in SC
Legal business name
CAROLINA ORTHOPAEDIC SURGERY ASSOCIATES, P.A.
Practice address
134 Professional Park Dr
Rock Hill, SC 29732-1178
Phone
(803) 329-7402
Fax
(803) 329-2611
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary F Elkins
Title
Administrator
Phone
(803) 329-7402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 11477 SC Primary

Addresses

Primary practice location

134 Professional Park Dr
Rock Hill, SC 29732-1178

Mailing address

134 Professional Park Dr
Rock Hill, SC 29732-1178
Phone (803) 329-7402

Other identifiers 1

IdentifierTypeStateIssuer
PC0637MedicaidSC

National Provider Directory

National Provider Directory

Locations

420 Park St
Belmont, NC 28012
Phone (704) 631-1820

3030 Randolph Rd
Charlotte, NC 28211
Phone (704) 512-4420

15110 John J Delaney Dr
Ste 200
Charlotte, NC 28277
Phone (704) 302-8100

6050 W Highway 74
Indian Trail, NC 28079

332 N Trade St
Ste 2000
Matthews, NC 28105
Phone (704) 302-8500

11304 Hawthorne Dr
Ste 115
Mint Hill, NC 28227
Phone (704) 684-0003

1201 Colonial Commons Ct
#1230
Lancaster, SC 29720

1201 Colonial Commons Ct
Lancaster, SC 29720
Phone (803) 283-6040

1656 Riverchase Blvd
Ste 3200
Rock Hill, SC 29732
Phone (704) 468-0101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6315/brand/3/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1104917400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321178",
            "telephone_number": "803-329-7402",
            "fax_number": "803-329-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321178",
            "telephone_number": "803-329-7402",
            "fax_number": "803-329-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORTHOPAEDIC SURGERY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-329-7402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "11477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC0637",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.