Provider Type Icon

IMPACT ORTHOPAEDICS PA NPI 1477736155


NPI Information

NPI: 1477736155
Provider Name: IMPACT ORTHOPAEDICS, PA
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
3320 WAKE FOREST RD
SUITE 120
RALEIGH, NC
ZIP 27609
Phone: (919) 876-6755
Get Directions

IMPACT ORTHOPAEDICS, PA is a sports medicine orthopaedic surgery in Raleigh, NC. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. IMPACT ORTHOPAEDICS, PA NPI is 1477736155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3320 WAKE FOREST RD
SUITE 120
RALEIGH, NC
ZIP 27609-300
Phone: (919) 876-6755
Fax: (919) 876-6756

The provider's authorized official is Robert G Jones .
The authorized official title is President and has the following contact phone number (919) 876-6755.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 2/3/2012.


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
1207XX0005XOrthopaedic SurgerySports Medicine9400536NORTH 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
16461860001MEDICARE NSCNORTH 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

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.