Organization Active NPI

Grady Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Spartanburg, SC
National Provider Identifier
1154419331
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
504 Issued in SC
Legal business name
GRADY ORTHOPAEDICS, LLC
Practice address
480 Floyd Rd
Spartanburg, SC 29307-1518
Phone
(864) 582-2115
Fax
(864) 582-2117
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Walter Grady, D.O.NPI 1225036551
Title
Surgeon
Phone
(864) 582-2115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 504 SC Primary

Addresses

Primary practice location

480 Floyd Rd
Spartanburg, SC 29307-1518

Mailing address

480 Floyd Rd
Spartanburg, SC 29307-1518
Phone (864) 582-2115

Other identifiers 1

IdentifierTypeStateIssuer
GP4156MedicaidSC

National Provider Directory

National Provider Directory

Locations

480 Floyd Rd
Spartanburg, SC 29307
Phone (864) 582-2115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1154419331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FLOYD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071518",
            "telephone_number": "864-582-2115",
            "fax_number": "864-582-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 FLOYD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071518",
            "telephone_number": "864-582-2115",
            "fax_number": "864-582-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY ORTHOPAEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "864-582-2115",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4156",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.