NPIMap

Organization Active NPI

Southeastern Orthopaedic Specialists, PA

Doing business as Murphy Wainer Orthopedic Specialists

  • Orthopaedic Surgery Physician
  • Greensboro, NC
National Provider Identifier
1629012935
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA
Doing business as
Murphy Wainer Orthopedic Specialists
Practice address
1130 N Church St
Suite 100
Greensboro, NC 27401-1008
Phone
(336) 375-2300
Fax
(336) 375-2314
NPI assigned
Jun 16, 2006
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Robert A Wainer, MDNPI 1356387047
Title
Senior Partner
Phone
(336) 375-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Surgical Physician Assistant 363AS0400X NU
Family Medicine Physician 207Q00000X NU
Sports Medicine (Family Medicine) Physician 207QS0010X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Trauma Physician 207XX0801X NU

Addresses

Primary practice location

1130 N Church St
Suite 100
Greensboro, NC 27401-1008

Mailing address

1130 N Church St
Suite 100
Greensboro, NC 27401-1008
Phone (336) 375-2300

Other identifiers 1

IdentifierTypeStateIssuer
890218EMedicaidNC

Other names 1

  • Murphy Wainer Orthopedic Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000980 NC Part B Supplier - Clinic/Group Practice 4587568472 Receives reassigned benefits from 28 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eden, NC; Greensboro, NC
O20100930074750 NC DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4587568472 Practice locations: Greensboro, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1130 N Church St
Greensboro, NC 27401
Phone (336) 272-4578

1915 Lendew St
Ste 200
Greensboro, NC 27408
Phone (336) 235-4522

2707 Henry St
Greensboro, NC 27405
Phone (336) 375-2301

809 Green Valley Rd
Greensboro, NC 27408
Phone (336) 275-3325

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1629012935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N CHURCH ST",
            "address_2": "SUITE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011008",
            "telephone_number": "336-375-2300",
            "fax_number": "336-375-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N CHURCH ST",
            "address_2": "SUITE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011008",
            "telephone_number": "336-375-2300",
            "fax_number": "336-375-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "WAINER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "336-375-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890218E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murphy Wainer Orthopedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.

Verify at the official NPI Registry.