Organization Active NPI

Orthopaedic Specialists of North Carolina, P.a.

Doing business as OrthoNC

  • Orthopaedic Surgery Physician
  • Raleigh, NC
National Provider Identifier
1922390913
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A.
Doing business as
OrthoNC
Practice address
3320 Executive Dr
Suite 218
Raleigh, NC 27609-7445
Phone
(919) 645-0060
Fax
(919) 645-0065
NPI assigned
May 9, 2011
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Mark William Galland, MDNPI 1689741894
Title
Secretary
Phone
(919) 562-9410

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU
Physical Medicine & Rehabilitation Physician 208100000X NU

Addresses

Primary practice location

3320 Executive Dr
Suite 218
Raleigh, NC 27609-7445

Mailing address

PO Box 1107
Wake Forest, NC 27588-1107
Phone (919) 562-9410

Other names 1

  • OrthoNC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Specialists of North Carolina PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3320 Executive Dr
Ste 218
Raleigh, NC 27609
Phone (919) 872-0940

Practitioners & affiliated clinicians

Practitioners 1

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": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1922390913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881107",
            "telephone_number": "919-562-9410",
            "fax_number": "919-562-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "SUITE 218",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-645-0060",
            "fax_number": "919-645-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "GALLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "919-562-9410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoNC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 17, 2018; 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.