Active NPI
Rodney A Mortenson, MD
- Orthopaedic Surgery Physician
- Eden, NC
National Provider Identifier
1184677734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 16532
- Practice address
- 518 S Van Buren Rd
Central Business Office
Eden, NC 27288-5033 - Phone
- (336) 623-9711
- Fax
- (336) 627-0778
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 16532 | NC | Primary |
Addresses
Primary practice location
518 S Van Buren Rd
Central Business Office
Eden, NC 27288-5033
Mailing address
520 South Van Buren Road
Suite 1
Eden, NC 27288-5019
Phone (336) 627-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8961088 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Orthopaedic Specialists | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- High Point, NC
- NPI 1437338571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1184677734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SOUTH VAN BUREN ROAD",
"address_2": "SUITE 1",
"city": "EDEN",
"state": "NC",
"postal_code": "272885019",
"telephone_number": "336-627-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 S VAN BUREN RD",
"address_2": "CENTRAL BUSINESS OFFICE",
"city": "EDEN",
"state": "NC",
"postal_code": "272885033",
"telephone_number": "336-623-9711",
"fax_number": "336-627-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTENSON",
"first_name": "RODNEY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "16532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8961088",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eden, NC
- Morehead Memorial Hospital
- Morehead Memorial Hospital
- Morehead Memorial Hospital
- Morehead Memorial Hospital
- William Edwin Morris Jr., DDS
- Moses Cone Affiliated Physicians, Inc.
- Moses Cone Affiliated Physicians, Inc.
- Chelsea Turner Motley, COTA/L
- Moving on Faith Transportation LLC
- Reginald Musekiwa, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.