Active NPI
Hector Manuel Pedraza, M.D.
- Orthopaedic Surgery Physician
- Goldsboro, NC
National Provider Identifier
1508846569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 32414
- Practice address
- 2808 McLamb PL
Goldsboro, NC 27534-1600 - Phone
- (919) 736-2157
- Fax
- (919) 580-0424
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 32414 | NC | Primary |
Addresses
Primary practice location
2808 McLamb PL
Goldsboro, NC 27534-1600
Mailing address
2808 McLamb PL
Goldsboro, NC 27534-1600
Phone (919) 736-2157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8966567 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldsboro Orthopaedic Associates, PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2808 McLamb Pl
Goldsboro, NC 27534
Phone (919) 587-3169
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1508846569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 MCLAMB PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341600",
"telephone_number": "919-736-2157",
"fax_number": "919-580-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 MCLAMB PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341600",
"telephone_number": "919-736-2157",
"fax_number": "919-580-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDRAZA",
"first_name": "HECTOR",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "32414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8966567",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.