Active NPI
Northwest Orthopaedic Assoc PA
- Orthopaedic Surgery Physician
- N Wilkesboro, NC
National Provider Identifier
1801085352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 40711
- Legal business name
- NORTHWEST ORTHOPAEDIC ASSOC PA
- Practice address
- 1914 W Park Dr
N Wilkesboro, NC 28659-3563 - Phone
- (336) 667-5039
- Fax
- (336) 667-5719
- NPI assigned
- Oct 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra D Shew, RMA
- Title
- Registered Medical Assistant
- Phone
- (336) 667-5039
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 40711 | NC | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 40711 | NC | |
| Prosthetic/Orthotic Supplier | 335E00000X | 40711 | NC |
Addresses
Primary practice location
1914 W Park Dr
N Wilkesboro, NC 28659-3563
Mailing address
1914 W Park Dr
N Wilkesboro, NC 28659-3563
Phone (336) 667-5039
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1372221NORT | Other | NC | UMWA |
| 200004899 | Other | NC | RR MEDICARE |
| 5950009 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314144000000",
"number": "1801085352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 W PARK DR",
"city": "N WILKESBORO",
"state": "NC",
"postal_code": "286593563",
"telephone_number": "336-667-5039",
"fax_number": "336-667-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 W PARK DR",
"city": "N WILKESBORO",
"state": "NC",
"postal_code": "286593563",
"telephone_number": "336-667-5039",
"fax_number": "336-667-5719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST ORTHOPAEDIC ASSOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2011-08-24",
"status": "A",
"authorized_official_last_name": "SHEW",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "REGISTERED MEDICAL ASSISTANT",
"authorized_official_telephone_number": "336-667-5039",
"authorized_official_credential": "RMA"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "40711",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "40711",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NC",
"license": "40711",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1372221NORT",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200004899",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950009",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.