Organization Active NPI

The Bone & Joint Orthopaedic Surgery Clinic, P. C.

  • Specialist
  • Sandersville, GA
National Provider Identifier
1659405546
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
039020 Issued in GA
Legal business name
THE BONE & JOINT ORTHOPAEDIC SURGERY CLINIC, P. C.
Practice address
620 Sparta Rd
Sandersville, GA 31082-1803
Phone
(478) 552-9402
Fax
(478) 552-0645
NPI assigned
Mar 15, 2007
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Dr. Roberto H Barja, M. D.NPI 1730143660
Title
President
Phone
(478) 552-9402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 039020 GA Primary

Addresses

Primary practice location

620 Sparta Rd
Sandersville, GA 31082-1803

Mailing address

620 Sparta Rd
Sandersville, GA 31082-1803
Phone (478) 552-9402

Other identifiers 1

IdentifierTypeStateIssuer
00703645BMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1659405546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821803",
            "telephone_number": "478-552-9402",
            "fax_number": "478-552-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821803",
            "telephone_number": "478-552-9402",
            "fax_number": "478-552-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BONE & JOINT ORTHOPAEDIC SURGERY CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "BARJA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-552-9402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "039020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00703645B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.