Central Carolina Orthopaedic

Primary specialty

SpecialistTaxonomy code 174400000X

License

9500524 Issued in NC

Legal business name

CENTRAL CAROLINA ORTHOPAEDIC

Practice address

1139 Carthage St
Suite 101
Sanford, NC 27330-4111

Phone

(919) 774-1355

Fax

(919) 775-1644

NPI assigned

Oct 7, 2007

Last updated

May 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew P Bush, MDNPI 1891853594

Title

Owner

Phone

(919) 774-1355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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.

• Andrew Panchenko Bush, MD

  • Orthopaedic Surgery Physician
  • Sanford, NC
  • NPI 1891853594
  Medicare reassignment NPD Authorized official
• Joy Elaine McMasters, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1457581852
  Medicare reassignment
• Kevin Pilecki, P.A.

  • Physician Assistant
  • Raleigh, NC
  • NPI 1629197207
  Medicare reassignment
• Alfonso Haro, DPM

  • Foot & Ankle Surgery Podiatrist
  • West End, NC
  • NPI 1013902865
  NPD (past)
• Michael Commesso, PT, DPT

  • Physical Therapist
  • South Pasadena, CA
  • NPI 1477078012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1205024007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3247",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273313247",
            "telephone_number": "919-774-1355",
            "fax_number": "919-775-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 CARTHAGE ST",
            "address_2": "SUITE 101",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304111",
            "telephone_number": "919-774-1355",
            "fax_number": "919-775-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA ORTHOPAEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-07",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-774-1355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9500524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Carolina Hearing Aid Associates
• Central Carolina Hospital
• Central Carolina Hospital Pro Fee Billing, LLC
• Central Carolina Nephrology Services
• Central Carolina Optometry, P.a.
• Central Carolina Physicians - Sandhills, LLC (Family Health Associates of Sanford)
• Central Carolina Physicians - Sandhills, LLC
• Central Carolina Surgical, PA
• Central Carolina-Ima, LLC
• Central Emergency Physicians, PLLC

• Specialist in Sanford, NC
• Providers in Sanford, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.