Organization Active NPI

Orthopedic Surgery Specializing in the Foot and Ankle, P.a.

  • Specialist
  • Raleigh, NC
National Provider Identifier
1164626487
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ORTHOPEDIC SURGERY SPECIALIZING IN THE FOOT AND ANKLE, P.A.
Practice address
600 N Person St
Raleigh, NC 27604-1214
Phone
(919) 838-5254
Fax
(919) 838-5201
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Thena R Amos
Title
Practice Manager
Phone
(919) 838-5254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

600 N Person St
Raleigh, NC 27604-1214

Mailing address

600 N Person St
Raleigh, NC 27604-1214
Phone (919) 838-5254

Other identifiers 1

IdentifierTypeStateIssuer
89127E0MedicaidNC

Other names 1

  • OSFA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721000440 NC Part B Supplier - Clinic/Group Practice 0042290108 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

600 N Person St
Raleigh, NC 27604
Phone (919) 467-4992

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1164626487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041214",
            "telephone_number": "919-838-5254",
            "fax_number": "919-838-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041214",
            "telephone_number": "919-838-5254",
            "fax_number": "919-838-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGERY SPECIALIZING IN THE FOOT AND ANKLE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "THENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-838-5254"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127E0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.