NPIMap

Organization Active NPI

Carolina Orthopedic and Sports Medicine, Inc - Kinston

  • Orthopaedic Surgery Physician
  • Kinston, NC
National Provider Identifier
1740716059
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CAROLINA ORTHOPEDIC AND SPORTS MEDICINE, INC - KINSTON
Practice address
701 Doctors Dr
Suite N
Kinston, NC 28501-1589
Phone
(282) 559-5662
Fax
(252) 552-5662
NPI assigned
May 5, 2017
Organization subpart
Yes
Parent organization
CAROLINA ORTHOPEDIC AND SPORTS MEDICINE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Mark Graham Wertman, MD
Title
President Physician
Phone
(252) 634-2676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

701 Doctors Dr
Suite N
Kinston, NC 28501-1589

Mailing address

701 Doctors Dr
Suite N
Kinston, NC 28501-1589
Phone (282) 559-5662

National Provider Directory

National Provider Directory
Tax ID family
Carolina Orthopedic Sports6 organizations share this tax ID, including this one
Part of
Carolina Orthopedic Sports

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1740716059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE N",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589",
            "telephone_number": "282-559-5662",
            "fax_number": "252-552-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE N",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589",
            "telephone_number": "282-559-5662",
            "fax_number": "252-552-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORTHOPEDIC AND SPORTS MEDICINE, INC - KINSTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA ORTHOPEDIC AND SPORTS MEDICINE, INC",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "WERTMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "252-634-2676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.