Organization Active NPI

Mid-South Orthopaedic,PA

  • Orthopaedic Surgery Physician
  • Pinehurst, NC
National Provider Identifier
1962501528
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Jan 17, 2008

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7980756MedicaidNC
80756OtherNCBCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.