Unc Physicians Group Practices II, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

UNC PHYSICIANS GROUP PRACTICES II, LLC

Practice address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Phone

(984) 215-4111

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Lynne Christine Fiscus

Title

Ceo

Phone

(984) 215-4111

Specialties & licenses 2

Addresses

Other names 1

• UNC Health Raleigh Orthopedic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Unc Physicians Group Practices II, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cary, NC
  • NPI 1053919183

  O20201229002684

  Same enrollment
• Unc Physicians Group Practices II, LLC

  • Neurological Surgery Physician
  • Asheville, NC
  • NPI 1861161515

  O20201229002684

  Same enrollment

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Kristian Andersen, M.D.

  • Orthopaedic Surgery Physician
  • Cary, NC
  • NPI 1700850195
  NPD
• Sameer Mathur, MD

  • Orthopaedic Surgery Physician
  • Cary, NC
  • NPI 1063511806
  NPD
• Melissa B Clark, OT

  • Occupational Therapist
  • Birmingham, AL
  • NPI 1235187576
  NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1649878786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442",
            "telephone_number": "984-215-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442",
            "telephone_number": "984-215-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNC PHYSICIANS GROUP PRACTICES II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "FISCUS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-215-4111"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Health Raleigh Orthopedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Tu, DDS
• Yasmin Ayesha Uddin
• Chioma Uchechi Ugwa, RPH
• Ambrose Oyemhen Ukpebor
• Unc Physicians Group Practices II, LLC
• Unc Physicians Group Practices II, LLC
• Unc Physicians Network LLC
• Unc Physicians Network LLC
• Unc Physicians Network, LLC
• Unc Physicians Network, LLC

• Orthopaedic Surgery Physician in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.