Johnston Orthopaedic Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

26207 Issued in NC

Legal business name

JOHNSTON ORTHOPAEDIC CENTER

Practice address

540 North St
Smithfield, NC 27577

Phone

(919) 934-1094

Fax

(919) 934-9044

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stanley R Bylciw, MDNPI 1932191020

Title

President

Phone

(919) 934-1094

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Stanley Robert Bylciw, MD

  • Orthopaedic Surgery Physician
  • Smithfield, NC
  • NPI 1932191020

  Orthopaedic Surgery

  NPD (past) Authorized official
• Andrew Richard Domer, PA-C

  • Surgical Physician Assistant
  • Colorado Springs, CO
  • NPI 1841231230
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1255425443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1538",
            "address_2": "540 NORTH ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275771538",
            "telephone_number": "919-934-1094",
            "fax_number": "919-934-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NORTH ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-934-1094",
            "fax_number": "919-934-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON ORTHOPAEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BYLCIW",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-934-1094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "26207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890181A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnston Memorial Hospital Authority
• Johnston Memorial Hospital Authority
• Johnston Memorial Hospital Physical Therapists
• Johnston Memorial Quikmed III
• Johnston Opco, LLC
• Johnston Primary Care Physician Services Inc
• Johnston Primary Care Physician Services, Inc.
• Johnston Specialty Physician Services, Inc.
• Johnston Specialty Physician Services, Inc.
• Johnston Specialty Physician Services,Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.