Active NPI
Statesville Hma Physician Management Inc
- Sports Medicine (Orthopaedic Surgery) Physician
- Statesville, NC
National Provider Identifier
1215199286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 200700675
- Legal business name
- STATESVILLE HMA PHYSICIAN MANAGEMENT INC
- Practice address
- 340 Signal Hill Dr
Suite a
Statesville, NC 28625-4483 - Phone
- (704) 873-6065
- Fax
- (704) 873-6058
- NPI assigned
- Jun 30, 2008
- Organization subpart
- Yes
- Parent organization
- HEALTH MANAGEMENT ASSOCIATES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stanley D. McLemore
- Title
- Sr. Vice President
- Phone
- (239) 598-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 200700675 | NC | Primary |
Addresses
Primary practice location
340 Signal Hill Dr
Suite a
Statesville, NC 28625-4483
Mailing address
5811 Pelican Bay Blvd
Ste 500
Naples, FL 34108-2704
Phone (239) 598-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5948720001 | Other | NC | DME |
Other names 1
- Statesville Orthopedics and Sports Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248652800000",
"number": "1215199286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 PELICAN BAY BLVD",
"address_2": "STE 500",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082704",
"telephone_number": "239-598-3131",
"fax_number": "239-598-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 SIGNAL HILL DR",
"address_2": "SUITE A",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254483",
"telephone_number": "704-873-6065",
"fax_number": "704-873-6058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATESVILLE HMA PHYSICIAN MANAGEMENT INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC.",
"enumeration_date": "2008-06-30",
"last_updated": "2009-07-27",
"status": "A",
"authorized_official_last_name": "MCLEMORE",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "SR. VICE PRESIDENT",
"authorized_official_telephone_number": "239-598-3131",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "200700675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "5948720001",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Statesville Orthopedics and Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Statesville, NC
- Statesville Hma Medical Group, LLC
- Statesville Hma Medical Group, LLC
- Statesville Hma Medical Group, LLC
- Statesville Hma Medical Group, LLC
- Statesville Hma Medical Group, LLC
- Statesville Hma Physician Management, Inc
- Statesville Hma, LLC
- Statesville Medical Management Services, LLC
- Statesville Primary Care PLLC
- Statesville Vision Center OD, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.