Providence Orthopaedic Group, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PROVIDENCE ORTHOPAEDIC GROUP, LLC

Doing business as

Moore Orthopaedic Clinic

Practice address

114 Gateway Corporate Blvd
Suite 100
Columbia, SC 29203-9740

Phone

(803) 227-8000

NPI assigned

Oct 7, 2010

Last updated

Jun 2, 2011By 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

Sean McNally

Title

Ceo

Phone

(803) 227-8152

Specialties & licenses 1

Addresses

Other names 1

• Moore Orthopaedic Clinic Doing business as

Locations

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1982913018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9592",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159592",
            "telephone_number": "803-227-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039740",
            "telephone_number": "803-227-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE ORTHOPAEDIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-227-8152"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Orthopaedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Hospital LLC (Hospital Professional Services)
• Providence Hospital Northeast Transitional Care Unit (Providence Northeast TCU)
• Providence Hospital, LLC (Providence Health)
• Providence Occupational Health Services LLC
• Providence Orthopaedic Group LLC (Moore Orthopaedic Clinic)
• Providence Orthopedic Group, LLC (Moore Center for Orthopedics)
• Providence Orthopedic Group, LLC (Moore Center for Orthopedics)
• Providence Pathology Associates PA
• Providence Physician Practices LLC (Hospital Professional Services)
• Providence Physician Practices LLC (Anesthesia Associates of Providence)

• Orthopaedic Surgery Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.