Kerr Lake Orthopaedics

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

200800411 Issued in NC

Legal business name

KERR LAKE ORTHOPAEDICS

Practice address

120 Charles Rollins Rd
Suite 205
Henderson, NC 27536-2882

Phone

(252) 436-1314

NPI assigned

May 22, 2008

Organization subpart

Yes

Parent organization

MARIA PARHAM ANESTHESIA AND PHYSIARTY CTRAs reported in NPPES

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

Authorized official

Name

Jim Chatman

Title

Vice President Finance Cfo

Phone

(252) 436-1101

Specialties & licenses 1

Addresses

Tax ID family

Maria Parham Anesthesia2 organizations share this tax ID, including this one

Part of

Maria Parham Anesthesia

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maria Parham Anesthesia and Physiatry Center Inc

  dba Dba Northern Carolina Cardiology

  • Internal Medicine Physician
  • Henderson, NC
  • NPI 1386929628
  NPD tax ID

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1720245111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS ROAD",
            "address_2": "SUITE 205",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-436-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD",
            "address_2": "SUITE 205",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362882",
            "telephone_number": "252-436-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR LAKE ORTHOPAEDICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIA PARHAM ANESTHESIA AND PHYSIARTY CTR",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VICE PRESIDENT  FINANCE CFO",
        "authorized_official_telephone_number": "252-436-1101"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "200800411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeshes Ragland Kearney
• Rhonda Louise Kearney, DDS, MS
• James E Kenney, M.D.
• Kerr Area Rural Medical Alliance PLLC
• Kerr Area Transportation Authority (Karts)
• Key Love Home Care LLC
• Brendan J Kiel, MD
• Ju Young Kim
• John Kimball, PA-C
• Kindred Nursing Centers East, L.L.C. (Kindred Nursing and Rehabilitation-Henderson)

• Orthopaedic Surgery Physician in Henderson, NC
• Providers in Henderson, 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 May 22, 2008; 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.