Organization Active NPI

Northeast Surgical Specialties, LLC

Doing business as Piedmont Orthopedic Specialists

  • Orthopaedic Surgery Physician
  • Concord, NC
National Provider Identifier
1801956859
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NORTHEAST SURGICAL SPECIALTIES, LLC
Doing business as
Piedmont Orthopedic Specialists
Practice address
1090 Northeast Gateway Court NE
Suite 204
Concord, NC 28025-2440
Phone
(704) 403-7020
Fax
(704) 403-7039
NPI assigned
Dec 11, 2006
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHEAST SURGICAL SPECIALTIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Thomas F Laymon
Title
Sr VP
Phone
(704) 403-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

1090 Northeast Gateway Court NE
Suite 204
Concord, NC 28025-2440

Mailing address

1090 Northeast Gateway Court NE
Suite 204
Concord, NC 28025-2440
Phone (704) 403-7020

Other identifiers 3

IdentifierTypeStateIssuer
018W5OtherNCBCBS
DO1210OtherNCRAILROAD MEDICARE PTAN
5906976MedicaidNC

Other names 1

  • Piedmont Orthopedic Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Northeast Surgical Specialties LLC

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1801956859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NORTHEAST GATEWAY COURT NE",
            "address_2": "SUITE 204",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252440",
            "telephone_number": "704-403-7020",
            "fax_number": "704-403-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NORTHEAST GATEWAY COURT NE",
            "address_2": "SUITE 204",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252440",
            "telephone_number": "704-403-7020",
            "fax_number": "704-403-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SURGICAL SPECIALTIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST SURGICAL SPECIALTIES, LLC",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "704-403-2276"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018W5",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DO1210",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906976",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Orthopedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.