Organization Active NPI

Orthopaedic Reconstruction PA

  • Orthopaedic Surgery Physician
  • Hilton Head, SC
National Provider Identifier
1801949284
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
6490 Issued in SC
Legal business name
ORTHOPAEDIC RECONSTRUCTION PA
Practice address
15 Lafayette PL
Hilton Head, SC 29926-2276
Phone
(843) 689-2215
Fax
(843) 689-2659
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Clark N Hopson, M.D.
Title
President
Phone
(843) 689-2215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 6490 SC Primary

Addresses

Primary practice location

15 Lafayette PL
Hilton Head, SC 29926-2276

Mailing address

15 Lafayette PL
Hilton Head, SC 29926-2276
Phone (843) 689-2215

Other identifiers 1

IdentifierTypeStateIssuer
GP1250-064904MedicaidSC

National Provider Directory

National Provider Directory

Locations

15 Lafayette Pl
Ste E
Hilton Head, SC 29926

15 Lafayette Pl
Hilton Head Island, SC 29926
Phone (843) 342-3012

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1801949284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAFAYETTE PL",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262276",
            "telephone_number": "843-689-2215",
            "fax_number": "843-689-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAFAYETTE PL",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262276",
            "telephone_number": "843-689-2215",
            "fax_number": "843-689-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC RECONSTRUCTION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HOPSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-689-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "6490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1250-064904",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.