NPIMap

Organization Active NPI

Emergeortho PA

  • Durable Medical Equipment & Medical Supplies
  • Durham, NC
National Provider Identifier
1720123748
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
39442 Issued in NC
Legal business name
EMERGEORTHO PA
Practice address
120 William Penn PLZ
Durham, NC 27704
Phone
(919) 220-5255
Fax
(919) 313-1276
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Thomas Alva Dimmig, MD
Title
President
Phone
(919) 220-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 39442 NC Primary

Addresses

Primary practice location

120 William Penn PLZ
Durham, NC 27704

Mailing address

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

Other names 1

  • Triangle Orthopaedic Associates, PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930014090 NC DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0749188894 1 other NPI on this enrollment
Practice locations: Durham, NC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Emergeortho PA70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1720123748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLZ",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042150",
            "telephone_number": "919-220-5255",
            "fax_number": "919-313-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLZ",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-220-5255",
            "fax_number": "919-313-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGEORTHO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "DIMMIG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-220-5255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "39442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Orthopaedic Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Triangle Orthopaedic Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.