NPIMap

Individual provider Active NPI

Lawrence Francis Supik, MD

  • Orthopaedic Surgery Physician
  • Sylva, NC
National Provider Identifier
1912900523
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
200101615 Issued in NC
Practice address
80 Healthcare Dr
Ste 203
Sylva, NC 28779-5146
Phone
(828) 586-5531
Fax
(828) 586-5759
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 200101615 NC Primary

Addresses

Primary practice location

80 Healthcare Dr
Ste 203
Sylva, NC 28779-5146

Mailing address

80 Healthcare Dr
Ste 203
Sylva, NC 28779-5126
Phone (828) 586-5531

Other identifiers 1

IdentifierTypeStateIssuer
89130M5MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000623 NC Practitioner - Orthopedic Surgery 9234101858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Brody School of Medicine at East Carolina University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

80 Healthcare Dr
Suite 203
Sylva, NC 28779-5146
Phone (828) 586-5531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200101615NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 1, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC Orthopaedic Surgery CurrentSince Aug 1, 2014 Accepting new patients
DLP Harris Regional Hospital LLC CurrentSince Dec 31, 2014 Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
Battlefield Orthopedics PC Orthopaedic Surgery Past Accepting new patients
Haywood Women'S Medical Center, PA Past Accepting new patients
Harris Regional Hospital Dba Sylva Orthopaedic Associates Past Accepting new patients

Locations

80 Healthcare Dr
Ste 101
Sylva, NC 28779
Phone (828) 586-7451

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

80 Healthcare Dr
Ste 203
Sylva, NC 28779
Phone (828) 586-5531

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

Interoperability endpoints

  • Direct secure messaging: lawrence.supik.1@9865.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1912900523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HEALTHCARE DR",
            "address_2": "STE 203",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795126",
            "telephone_number": "828-586-5531",
            "fax_number": "828-586-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HEALTHCARE DR",
            "address_2": "STE 203",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795146",
            "telephone_number": "828-586-5531",
            "fax_number": "828-586-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPIK",
        "first_name": "LAWRENCE",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "200101615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130M5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.