Organization Active NPI

Orthopaedic Center of the Carolinas, PA

  • Orthopaedic Surgery Physician
  • Greenville, SC
National Provider Identifier
1902874019
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP1500MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Center of the Carolinas PA2 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.