Organization Active NPI

Orthopaedic Specialists of North Carolina, PA

  • Physical Therapist
  • Henderson, NC
National Provider Identifier
1174849780
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, PA
Practice address
1539 Dabney Dr
Henderson, NC 27536-2907
Phone
(252) 460-6500
Fax
(252) 430-8115
NPI assigned
Apr 8, 2010
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Mark William Galland, MDNPI 1689741894
Title
Secretary
Phone
(919) 562-9410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1539 Dabney Dr
Henderson, NC 27536-2907

Mailing address

PO Box 1107
Wake Forest, NC 27588-1107
Phone (919) 562-9410

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Specialists of North Carolina PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1539 Dabney Dr
Henderson, NC 27536
Phone (252) 460-6500

Practitioners & affiliated clinicians

Practitioners 1

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": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1174849780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881107",
            "telephone_number": "919-562-9410",
            "fax_number": "919-562-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362907",
            "telephone_number": "252-460-6500",
            "fax_number": "252-430-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "GALLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "919-562-9410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.