Southeastern Orthopaedic Specialists, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

BL 6497209 Issued in NC

Legal business name

SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA

Doing business as

Sports Medicine & Joint Replacement of Greensboro

Practice address

1130 N Church St Ste 100
Greensboro, NC 27401-1041

Phone

(336) 375-2300

Fax

(336) 375-2314

NPI assigned

Aug 27, 2013

Last updated

Jan 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Wainer, M.D.NPI 1356387047

Title

Partner

Phone

(336) 375-2300

Specialties & licenses 1

Addresses

Other names 1

• Sports Medicine & Joint Replacement of Greensboro Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Southeastern Orthopaedic Specialists, PA

  dba Murphy Wainer Orthopedic Specialists

  • Orthopaedic Surgery Physician
  • Greensboro, NC
  • NPI 1629012935

  O20040225000980

  Same enrollment
• Southeastern Orthopaedic Specialists, PA

  dba Guilford Orthopaedic & Sports Medicine Ctr

  • Orthopaedic Surgery Physician
  • Greensboro, NC
  • NPI 1790724706

  O20040225000980

  Same enrollment
• Southeastern Orthopaedic Specialists,PA

  • Orthopaedic Surgery Physician
  • Greensboro, NC
  • NPI 1285687731

  O20040225000980

  Same enrollment

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.

• Robert A Wainer, MD

  • Orthopaedic Surgery Physician
  • Greensboro, NC
  • NPI 1356387047
  Authorized official Same address or phone

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1700210606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011205",
            "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 STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011041",
            "telephone_number": "336-375-2300",
            "fax_number": "336-375-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "WAINER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-375-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "BL 6497209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine & Joint Replacement of Greensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Home Care, LLC
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• Southeastern Orthopaedic Specialists, P.a. (Murphy Wainer Orthopedic Specialists)
• Southeastern Orthopaedic Specialists, PA (Murphy Wainer Orthopedic Specialists)
• Southeastern Orthopaedic Specialists, PA (Guilford Orthopaedic & Sports Medicine Ctr)
• Southeastern Orthopaedic Specialists,PA
• Southeastern Overread Services PLLC
• Southeastern Overread Services, PLLC
• Southeastern Radiology PA

• Orthopaedic Surgery Physician in Greensboro, NC
• Providers in Greensboro, 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 Jan 8, 2014; 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.