Carolina Orthopaedic and Neurosurgical Associates
Organization Active NPI Orthopaedic Surgery Physician · Duncan, SC
NPI 1427508209 · NPPES record last updated Oct 5, 2016
Key facts
- NPI
- 1427508209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES
- Practice address
- 115 Deacon Tiller CT
Duncan, SC 29334-8880 - Phone
- (864) 582-6396
- Fax
- (864) 582-1608
- NPI assigned
- Oct 5, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINA ORTHOPAAEDIC AND NEUROSURGICAL ASSOCIATES
Authorized official
- Name
- Karen D Walcher, BS
- Title
- Office Manager
- Phone
- (864) 582-6396
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 2
Practitioners 65
-
Mikhail Alexeev, M.D.
-
Jack Parks Arthur, PA-C
-
Adam Gregory Back, M.D.
-
Brian Kyle Barnes, PA-C
-
Joshua Craig Bigham, D.O
-
Crystal M Bishop, PA
-
William Orgill Boyd III, PA-C
-
Katherine Hadden Brooks, PA-C
-
Anna Bearden Brown, FNP
-
David Spaulding Brown, M.D., PH.D.
-
Sukyoon Chang, PA-C, LAT, ATC
-
Christopher Chittum, M.D.
-
Caroline Nicole Franklin, PA-C
-
Ian Gao, M.D.
-
Charles Bradley Harrison, PA-C
-
Landon Hewell, PA-C
-
Michael Parker Hoenig, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2028719 | Carolina Orthopaedic and Neurosurgical Associates | Certificate of waiver | Aug 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170614002719 | SC | DME Supplier - Physician - Orthopedic/Orthopedic Surgery |
5991695975 | Practice locations: Duncan, SC |
National Provider Directory
- Tax ID family
- Orthopaedic Associates PA
- Part of
- Orthopaedic Associates PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | SC | Yes | |
| Physical Medicine & Rehabilitation Physician |
208100000X | SC |
Addresses
Primary practice location
115 Deacon Tiller CT
Duncan, SC 29334-8880
Mailing address
1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4201
Phone (864) 582-6396
Other providers in Duncan, SC
- Stephanie Burnett
- Simon B Cairns
- Louis Campasano Jr.
- Lisa Jane Cancel
- Carolina Health DPC
- Melinda Jean Carter
- Joseph Brandon Chadwell
- Elizabeth Ann Chapman
- Chiropractic Associates
- Chronic Health Solutions LLC
All providers in Duncan, SC · Orthopaedic Surgery Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.