Orthopaedic Specialists of the Carolinas, P.a.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

75970 Issued in NC

Legal business name

ORTHOPAEDIC SPECIALISTS OF THE CAROLINAS, P.A.

Practice address

170 Kimel Park Dr
Winston Salem, NC 27103-6946

Phone

(336) 768-1270

Fax

(336) 765-6375

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Teresa G. Jackson

Title

Adm. Asst.

Phone

(336) 768-1270

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1942499900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-768-1270",
            "fax_number": "336-765-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-768-1270",
            "fax_number": "336-765-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALISTS OF THE CAROLINAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADM. ASST.",
        "authorized_official_telephone_number": "336-768-1270",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "75970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890110Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Montgomery Orsban, PA
• Victor Enrique Ortega, M.D.
• Orthocarolina
• Orthocarolina
• Orthopaedic Specialists of the Carolinas, P.a.
• Alisa Boyette Ortman, RPH
• Kristina Orton, CRNA
• Sara Marie Osborn
• Heather Joy Osborne, FNP-C
• Jennifer Willard Osborne, CRNA

• Customized Equipment (DME) in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.