Active NPI
Orthopaedic Center of the Carolinas, PA
- Orthopaedic Surgery Physician
- Greenville, SC
National Provider Identifier
1902874019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPAEDIC CENTER OF THE CAROLINAS, PA
- Practice address
- 135 Commonwealth Dr
Suite 230
Greenville, SC 29615-4831 - Phone
- (864) 676-0897
- Fax
- (864) 676-0898
- NPI assigned
- Mar 14, 2006
- Organization subpart
- Yes
- Parent organization
- ST FRANCIS PHYSICIAN SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William L Devault, MD
- Title
- President
- Phone
- (864) 676-0897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
135 Commonwealth Dr
Suite 230
Greenville, SC 29615-4831
Mailing address
PO Box 25039
Greenville, SC 29616-0039
Phone (864) 676-0897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1500 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Orthopaedic Center of the Carolinas PA
- Part of
- The OBGYN Group of Greenville
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Piedmont, SC
- NPI 1841268943
Locations
135 Commonwealth Dr
Ste 230
Greenville, SC 29615
Phone (864) 365-0250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1902874019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25039",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296160039",
"telephone_number": "864-676-0897",
"fax_number": "864-676-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 COMMONWEALTH DR",
"address_2": "SUITE 230",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154831",
"telephone_number": "864-676-0897",
"fax_number": "864-676-0898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC CENTER OF THE CAROLINAS, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES, INC",
"enumeration_date": "2006-03-14",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "DEVAULT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-676-0897",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1500",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Nicolette Lee Orsky
- Midge L Orszak, CRNA
- Ortho Sport and Spine Physicians Greenville
- Orthodontic Associates of Greenville, P.a.
- Orthodontic Specialists of Carolina, PC
- Orthopedic Services, Inc.
- Jaime Rodolfo Ortiz Velez, MD
- Elbangelis Ortiz-Morales, MS CFY-SLP
- Elizabeth Callaway Orvis, PT
- Sheila Osborne, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.