NPIMap

Organization Active NPI

Pinehurst Orthopedic Group, PA

  • Orthopaedic Surgery Physician
  • West End, NC
National Provider Identifier
1780765214
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9901414 Issued in NC
Legal business name
PINEHURST ORTHOPEDIC GROUP, PA
Practice address
4208 Murdocksville Rd
West End, NC 27376-8871
Phone
(910) 295-7070
Fax
(910) 295-7447
NPI assigned
Oct 18, 2006
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Ms. BJ Goodridge, MHA
Title
Practice Administrator
Phone
(910) 295-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 9901414 NC Primary

Addresses

Primary practice location

4208 Murdocksville Rd
West End, NC 27376-8871

Mailing address

4208 Murdocksville Rd
West End, NC 27376-8871
Phone (910) 295-7070

Other identifiers 3

IdentifierTypeStateIssuer
DB4068OtherRAILROAD MEDICARE
8912586MedicaidNC
12586OtherBCBS NC

Other names 1

  • Pinehurst Hip and Knee Center, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

305 Page Rd N
Ste 1
Pinehurst, NC 28374
Phone (910) 295-7070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3787/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1780765214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 MURDOCKSVILLE RD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273768871",
            "telephone_number": "910-295-7070",
            "fax_number": "910-295-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 MURDOCKSVILLE RD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273768871",
            "telephone_number": "910-295-7070",
            "fax_number": "910-295-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST ORTHOPEDIC GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "GOODRIDGE",
        "authorized_official_first_name": "BJ",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-295-7070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "9901414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB4068",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912586",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "12586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinehurst Hip and Knee Center, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West End, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.