North Carolina Shoulder and Elbow Surgery and Sports Medicine, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

2006-01004 Issued in NC

Legal business name

NORTH CAROLINA SHOULDER AND ELBOW SURGERY AND SPORTS MEDICINE, PA

Practice address

6019 Oleander Dr Ste 200B
Wilmington, NC 28403-4813

Phone

(910) 791-0313

Fax

(910) 454-0011

NPI assigned

Nov 10, 2010

Last updated

Nov 11, 2010By 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. Sherman Austin Yeargan III, M.D.NPI 1962421917

Title

President

Phone

(910) 454-0010

Specialties & licenses 1

Addresses

Locations

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.

• Sherman Austin Yeargan III, M.D.

  • Orthopaedic Surgery Physician
  • Wilmington, NC
  • NPI 1962421917
  NPD Authorized official

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1730480559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 OLEANDER DR STE 200B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034813",
            "telephone_number": "910-791-0313",
            "fax_number": "910-454-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 OLEANDER DR STE 200B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034813",
            "telephone_number": "910-791-0313",
            "fax_number": "910-454-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA SHOULDER AND ELBOW SURGERY AND SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "YEARGAN",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-454-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2006-01004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy LLC (CVS Pharmacy #04298)
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #03822)
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #16480)
• North Carolina Interventional Pain - B, LLC
• North Carolina Mental Health and Psychiatry Group PC
• North Carolina Solutions
• Laura North
• Ann T Northrup, CRNA
• Casey Wilson Northrup, MD
• Cathy Hayes Norton, DMIN, MA, MED, LPC

• Specialist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.