NPIMap

Organization Active NPI

Southeastern Orthopaedic Specialists, PA

Doing business as Sports Medicine & Joint Replacement of Greensboro

  • Orthopaedic Surgery Physician
  • Randleman, NC
National Provider Identifier
1922431535
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
BL 6497209 Issued in NC
Legal business name
SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA
Doing business as
Sports Medicine & Joint Replacement of Greensboro
Practice address
148 Pointe South Dr
Randleman, NC 27317-9520
Phone
(336) 799-4433
Fax
(336) 333-6441
NPI assigned
Aug 19, 2013
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Stephen D Lucey, M.D.
Title
Partner
Phone
(336) 333-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BL 6497209 NC Primary

Addresses

Primary practice location

148 Pointe South Dr
Randleman, NC 27317-9520

Mailing address

201 E Wendover Ave
Greensboro, NC 27401-1205
Phone (336) 333-6443

Other names 1

  • Sports Medicine & Joint Replacement of Greensboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Orthopaedic Specialistspa4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1922431535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011205",
            "telephone_number": "336-333-6443",
            "fax_number": "336-333-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 POINTE SOUTH DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179520",
            "telephone_number": "336-799-4433",
            "fax_number": "336-333-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-333-6443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "BL 6497209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine & Joint Replacement of Greensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randleman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.