St. Luke'S Physician Network Inc.
Organization Active NPI Orthopaedic Surgery Physician · Columbus, NC
NPI 1154563385 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1154563385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ST. LUKE'S PHYSICIAN NETWORK INC.
- Practice address
- 89 W Mills St
Ste a
Columbus, NC 28722-9450 - Phone
- (828) 894-3718
- NPI assigned
- Apr 2, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- ST. LUKE'S PHYSICIAN NETWORK INC.
Authorized official
- Name
- Elizabeth Presnell
- Title
- Cfo
- Phone
- (828) 894-0954
Other NPIs on the same Medicare enrollment 5
Member of 4
Member organizations 77
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081229000465 | NC | Part B Supplier - Clinic/Group Practice | 8224190277 |
Receives reassigned benefits from 3 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lincolnton, NC; Wilmington, NC; Shelby, NC; Monroe, NC; Laurinburg, NC; Concord, NC; Columbus, NC; Charlotte, NC |
National Provider Directory
- Part of
- St Lukes Physician Network Inc
Locations
89 W Mills St
#A
Columbus, NC 28722
Phone (828) 702-6748
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X |
Addresses
Primary practice location
89 W Mills St
Ste a
Columbus, NC 28722-9450
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names
- Rosenberg Bone and Joint
- St. Luke's Orthopedics and Sports Medicine
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Other providers in Columbus, NC
- St. Luke'S Hospital Inc.
- St. Luke'S Hospital Inc.
- St. Luke'S Hospital Inc.
- St. Luke'S Hospital Inc.
- St. Luke'S Physician Network Inc.
- St. Luke'S Physician Network Inc.
- St. Lukes Hospital Inc.
- St. Lukes Physician Network, Inc
- Erin Hunter Steed
- James Madison Sullenberger
All providers in Columbus, NC · Orthopaedic Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.