Northeastern Orthopedics, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

88829 Issued in NC

Legal business name

NORTHEASTERN ORTHOPEDICS, PA

Practice address

602 Academy St S
Ahoskie, NC 27910-3239

Phone

(252) 332-3699

Fax

(252) 332-4335

NPI assigned

Apr 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Stevenson Larabee

Title

Secretary, Treasurer

Phone

(252) 332-3699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 7

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.

• Lawrence Norman Larabee Jr., MD

  • Orthopaedic Surgery Physician
  • Kinston, NC
  • NPI 1700842291
  Medicare reassignment NPD
• Mary Kathleen Boone Perry, FNP

  • Family Nurse Practitioner
  • Ahoskie, NC
  • NPI 1366797128
  Medicare reassignment NPD
• Renita Deloatch Smallwood, FNP

  • Family Nurse Practitioner
  • Ahoskie, NC
  • NPI 1093369977
  Medicare reassignment NPD
• Kern Lee Barrow, PA

  • Physician Assistant
  • Wallace, NC
  • NPI 1295737963
  NPD (past)
• Samuel Steven Floyd Jr., PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1285731299
  NPD (past)
• Timothy W Childers, PA-C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Reed City, MI
  • NPI 1124078555
  NPD (past)
• Penny Shelton, ACNP-C

  • Acute Care Nurse Practitioner
  • Sikeston, MO
  • NPI 1881617116
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821054339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103239",
            "telephone_number": "252-332-3699",
            "fax_number": "252-332-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103239",
            "telephone_number": "252-332-3699",
            "fax_number": "252-332-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN ORTHOPEDICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARABEE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "STEVENSON",
        "authorized_official_title_or_position": "SECRETARY, TREASURER",
        "authorized_official_telephone_number": "252-332-3699"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "88829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Caldwell Nelson, RPH
• New Beginnings Program
• New Life Community Supports, Inc.
• Katlyn Small Nixon, OT
• Melissa Leggett Northcott, LPTA
• Nuvizions LLC
• Lynn M. Olsefski, LCSW
• Oncall Nursing of NC Inc (On Call Nursing)
• Optimum Behavioral Health Care
• Kymond D Outlaw

• Orthopaedic Surgery Physician in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.