Impact Orthopaedics, PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

9400536 Issued in NC

Legal business name

IMPACT ORTHOPAEDICS, PA

Practice address

3320 Wake Forest Rd
Suite 120
Raleigh, NC 27609-7300

Phone

(919) 876-6755

Fax

(919) 876-6756

NPI assigned

Dec 17, 2007

Last updated

Feb 3, 2012By 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

Robert G Jones, MD

Title

President

Phone

(919) 876-6755

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jeffrey G Vajay, PT

  • Physical Therapist
  • Raleigh, NC
  • NPI 1598714032
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1477736155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD",
            "address_2": "SUITE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-876-6755",
            "fax_number": "919-876-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD",
            "address_2": "SUITE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-876-6755",
            "fax_number": "919-876-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT ORTHOPAEDICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-876-6755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "9400536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progress-Jehosheba Ime, MPH
• Erfan Imeni Kashani, D.D.S.
• Lisa Michelle Imhof
• Anthony Russell Immediata, DMD, PA
• Impact Health Solutions Inc
• In Balance Acupuncture Oriental Medicine LLC
• In Home Health LLC (Heartland Home Health Care)
• In Home Health LLC (ProMedica Hospice (Raleigh))
• In Home Health, LLC (ProMedica Hospice (Raleigh))
• Kalista Morgan Inch

• Sports Medicine (Orthopaedic Surgery) Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.