Active NPI
Sports Medicine & Joint Replacement
- Orthopaedic Surgery Physician
- Greensboro, NC
National Provider Identifier
1659761757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 195335
- Legal business name
- SPORTS MEDICINE & JOINT REPLACEMENT
- Practice address
- 200 W Wendover Ave
Greensboro, NC 27401-1307 - Phone
- (336) 333-6443
- NPI assigned
- Jan 27, 2015
- Last updated
- Jan 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen D. Lucey, M.D.
- Title
- Owner
- Phone
- (336) 333-6443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 195335 | NC | Primary |
Addresses
Primary practice location
200 W Wendover Ave
Greensboro, NC 27401-1307
Mailing address
200 W Wendover Ave
Greensboro, NC 27401-1307
Phone (336) 451-4633
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422316800000",
"number": "1659761757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011307",
"telephone_number": "336-451-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011307",
"telephone_number": "336-333-6443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTS MEDICINE & JOINT REPLACEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A",
"authorized_official_last_name": "LUCEY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-333-6443",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "195335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Alisa Caron Spilkia, LCSW, LCAS, MAC
- Carroll Conner Spinks, NP
- Kimberly Spitler, RPH
- David Todd Spong, DDS
- Midge Spong
- Shari Porter Spradley
- Eleanor Anne Sprague, PA-C
- Marta O Sprague, RN
- Spring Arbor Greensboro NC Tenant, LLC (Spring Arbor of Greensboro)
- Spring Arbor of Greensboro, Limited Partnership
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.