Orthocarolina, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

28865 Issued in NC

Legal business name

ORTHOCAROLINA, PA

Practice address

1914 W Park Dr
North Wilkesboro, NC 28659-3563

Phone

(704) 323-2000

NPI assigned

Jul 29, 2013

Organization subpart

No

Name

Mr. Brent Shear

Title

Cfo

Phone

(704) 323-2000

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

• Lisa Shawn Good, OT

  • Occupational Therapist
  • Gastonia, NC
  • NPI 1326223769
  NPD
• Alicia Harrison Lazeski, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
  • NPI 1689965162
  NPD

Medicare fee-for-service enrollment

Enrolled in NC

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2013.

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1194167338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-323-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "704-323-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "SHEAR",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-323-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "28865",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "28865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901619",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omni Visions, Inc
• Omni Visions, Inc.
• Omni Visions, Inc.
• Omni Visions, Inc.
• Orchard Health Centers, PLLC
• Hannah Cardwell Ortiz, OTR/L
• Raja Rajeswara Rao Paladugu, M.D.
• Tonya Louise Palmer, FNP
• Paragon Outpatient Rehabilitation Services, LLC
• Danny J Payne, OD

• All providers in North Wilkesboro, NC
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.