Active NPI
Mid-South Orthopaedic,PA
- Orthopaedic Surgery Physician
- Pinehurst, NC
National Provider Identifier
1962501528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MID-SOUTH ORTHOPAEDIC,PA
- Practice address
- 40 Aviemore Dr
Pinehurst, NC 28374-9700 - Phone
- (910) 295-4500
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Suglia
- Title
- Office MG
- Phone
- (910) 295-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
40 Aviemore Dr
Pinehurst, NC 28374-9700
Mailing address
40 Aviemore Dr
Pinehurst, NC 28374-9700
Phone (910) 295-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7980756 | Medicaid | NC | |
| 80756 | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1962501528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AVIEMORE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749700",
"telephone_number": "910-295-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 AVIEMORE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749700",
"telephone_number": "910-295-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-SOUTH ORTHOPAEDIC,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "SUGLIA",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "OFFICE MG",
"authorized_official_telephone_number": "910-295-4500"
},
"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": "7980756",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80756",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.