Active NPI
WNC Spine Surgery PA
- Specialist
- Clyde, NC
National Provider Identifier
1689694481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 200200143
- Legal business name
- WNC SPINE SURGERY PA
- Practice address
- 262 Leroy George Dr
Suite M
Clyde, NC 28721-7430 - Phone
- (828) 452-8378
- Fax
- (828) 452-8326
- NPI assigned
- Jul 21, 2006
- Last updated
- Apr 27, 2009
- 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
- Mrs. Lori C Patterson
- Title
- Billing Manager
- Phone
- (828) 452-8346
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 200600993 | NC | |
| Specialist | 174400000X | 200200143 | NC | Primary |
Addresses
Primary practice location
262 Leroy George Dr
Suite M
Clyde, NC 28721-7430
Mailing address
262 Leroy George Dr
Suite M
Clyde, NC 28721-7430
Phone (828) 452-8378
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132WC | Other | NC | BCBS OF NC GROUP NUMBER |
| 5950658 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery of the Spine Physician
- Clyde, NC
- NPI 1073510848
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240790400000",
"number": "1689694481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 LEROY GEORGE DR",
"address_2": "SUITE M",
"city": "CLYDE",
"state": "NC",
"postal_code": "287217430",
"telephone_number": "828-452-8378",
"fax_number": "828-452-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 LEROY GEORGE DR",
"address_2": "SUITE M",
"city": "CLYDE",
"state": "NC",
"postal_code": "287217430",
"telephone_number": "828-452-8378",
"fax_number": "828-452-8326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WNC SPINE SURGERY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2009-04-27",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "828-452-8346",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "200600993",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "200200143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC GROUP NUMBER",
"identifier": "132WC",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950658",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.