Provider Type Icon

PORT CITY ORTHOPAEDICS PLLC NPI 1255353298


NPI Information

NPI: 1255353298
Provider Name: PORT CITY ORTHOPAEDICS PLLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
5305 WRIGHTSVILLE AVE STE H
WILMINGTON, NC
ZIP 28403
Phone: (910) 791-4492
Get Directions

PORT CITY ORTHOPAEDICS PLLC is an orthopaedic surgery in Wilmington, NC. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PORT CITY ORTHOPAEDICS PLLC NPI is 1255353298. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5305 WRIGHTSVILLE AVE STE H
WILMINGTON, NC
ZIP 28403-507
Phone: (910) 791-4492
Fax: (844) 292-2339

The provider's authorized official is Derrick Gerard Hickey .
The authorized official title is President and has the following contact phone number (910) 791-4492.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery001285463NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15904704MEDICAIDNORTH CAROLINA
22663410OTHERUHC
3018FWOTHERNORTH CAROLINABCBSNC
4DF1406OTHERMEDICARE RR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.