NPIMap

Organization Active NPI

Emergeortho, PA

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
National Provider Identifier
1881058535
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EMERGEORTHO, PA
Practice address
3100 Duraleigh Rd Ste 100
Raleigh, NC 27612-8105
Phone
(919) 788-8797
Fax
(919) 313-1276
NPI assigned
Apr 8, 2016
Last updated
May 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Authorized official

Name
Thomas Alva Dimmig, MDNPI 1073598868
Title
President
Phone
(919) 220-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3100 Duraleigh Rd Ste 100
Raleigh, NC 27612-8105

Mailing address

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

Other names 1

  • TRIANGLE ORTHOPAEDIC ASSOCIATES, PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160820000235 NC DME Supplier - Multi-Specialty - Physician 0749188894 Practice locations: Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1106236Emergeortho3100 Duraleigh Rd Ste 100, Raleigh, NC 27612Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Triangle Orthopedic Assoc70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1881058535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLZ",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042150",
            "telephone_number": "919-220-5255",
            "fax_number": "919-313-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DURALEIGH RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128105",
            "telephone_number": "919-788-8797",
            "fax_number": "919-313-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGEORTHO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "DIMMIG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-220-5255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIANGLE ORTHOPAEDIC ASSOCIATES, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.