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PIEDMONT JOINT REPLACEMENT BACK & SPORTS MEDICINE CENTER PLLC NPI 1013025212


NPI Information

NPI: 1013025212
Provider Name: PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
110 S PARK TER
EDEN, NC
ZIP 27288
Phone: (336) 623-2623
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PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC is a specialist in Eden, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC NPI is 1013025212. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 S PARK TER
EDEN, NC
ZIP 27288-351
Phone: (336) 623-2623
Fax: (336) 623-7909

The provider's authorized official is Titus Plomaritis .
The authorized official title is Physician and has the following contact phone number (336) 623-2623.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 9/2/2008.


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
1174400000XSpecialist31615NORTH 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
12318396MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
20128VOTHERNORTH CAROLINABCBS OF NC
3B86153MEDICARE UPINNORTH CAROLINA
40696730001MEDICARE NSCNORTH CAROLINA
5790128VMEDICAIDNORTH CAROLINA

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: 4/28/2024

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