Carolina Orthopaedic & Sports Medicine Center, P.a.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CAROLINA ORTHOPAEDIC & SPORTS MEDICINE CENTER, P.A.

Practice address

2345 Court Drive
Gastonia, NC 28054-2151

Phone

(704) 865-0077

Fax

(704) 867-6401

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry Clayton Thomason III, MD

Title

President

Phone

(704) 865-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Carolina Orthopaedic & Sports Medicine Center PA

  • Orthopaedic Surgery Physician
  • Gastonia, NC
  • NPI 1255380143

  7810983020

  Same PAC ID
• Carolina Orthopaedic & Sports Medicine Center PA

  • Durable Medical Equipment & Medical Supplies
  • Belmont, NC
  • NPI 1306644521

  7810983020

  Same PAC ID

Tax ID family

Carolina Orthopaedic SP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Orthopaedic & Sports Medicine Center PA

  • Durable Medical Equipment & Medical Supplies
  • Belmont, NC
  • NPI 1306644521
  NPD tax ID

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1831215672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 COURT DRIVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542151",
            "telephone_number": "704-865-0077",
            "fax_number": "704-867-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 COURT DRIVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542151",
            "telephone_number": "704-865-0077",
            "fax_number": "704-867-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORTHOPAEDIC & SPORTS MEDICINE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-865-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89098L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Home Care Solutions, Inc
• Carolina Mercy Medical Clinic PC
• Carolina Neurological Consulting, PLLC
• Carolina Orthopaedic & Sports Medicine Center PA
• Carolina Orthopaedic & Sports Medicine Center, P.a.
• Carolina Pediatric Center, PLLC
• Carolina Physical Medicine & Rehabilitation, PC
• Carolina Spine, Pain and Rehabilitation PLLC
• Carolina Surgery PA
• Carolina Therapeutic Services Community Development Inc

• Durable Medical Equipment & Medical Supplies in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.