Active NPI
Northeast Surgical Specialties, LLC
Doing business as Piedmont Orthopedic Specialists
- Orthopaedic Surgery Physician
- Concord, NC
National Provider Identifier
1801956859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2016
- Organization subpart
- Yes
- Parent organization
- NORTHEAST SURGICAL SPECIALTIES, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018W5 | Other | NC | BCBS |
| DO1210 | Other | NC | RAILROAD MEDICARE PTAN |
| 5906976 | Medicaid | NC |
Other names 1
- Piedmont Orthopedic Specialists
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.
-
dba Crna
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1023105905
Member Of
-
dba Atrium Health Primary Care and Integrative Medicine
- Internal Medicine Physician
- Concord, NC
- NPI 1023445517
Member Of
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.
-
- Orthopaedic Surgery Physician
- Concord, NC
- NPI 1184788853
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
- Northeast Medical Center
- Northeast OBGYN Associates PA
- Northeast Orthopedics PA
- Northeast Surgical Specialties, LLC
- Northeast Surgical Specialties, LLC (Piedmont Orthopedic Specialists - Poplar Tent)
- Northeast Urology Research (David U Lipsitz, M.D.)
- Northgate Family Medicine
- Northland Hearing Centers, Inc. (All American Hearing)
- Northpoint Eye Studio OD PA
- Lucia Novak, PA-C
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.