Active NPI
Orthocarolina, PA
- Orthopaedic Surgery Physician
- Charlotte, NC
National Provider Identifier
1427318294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 38865
- Legal business name
- ORTHOCAROLINA, PA
- Practice address
- 8840 Blakeney Professional Dr
Suite 102
Charlotte, NC 28277-6718 - Phone
- (704) 323-2000
- NPI assigned
- May 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent Shear
- Title
- Cfo
- Phone
- (704) 323-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 38865 | NC | Primary |
| Physical Therapist | 225100000X | 38865 | NC |
Addresses
Primary practice location
8840 Blakeney Professional Dr
Suite 102
Charlotte, NC 28277-6718
Mailing address
4601 Park Rd
Suite 300
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901619 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8840 Blakeney Professional Dr
Ste 102
Charlotte, NC 28277
Phone (704) 714-1401
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hickory, NC
- NPI 1306030739
-
- Orthopaedic Surgery Physician
- Winston Salem, NC
- NPI 1194794644
-
- Orthopaedic Surgery Physician
- Winston Salem, NC
- NPI 1639136583
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1639100506
-
- Physical Therapist
- Winston Salem, NC
- NPI 1669939526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424908800000",
"number": "1427318294",
"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": "8840 BLAKENEY PROFESSIONAL DR",
"address_2": "SUITE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776718",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOCAROLINA, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-25",
"last_updated": "2015-02-26",
"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"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "38865",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "38865",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901619",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.