MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA NPI 1649718875

NPI Information

NPI: 1649718875
Provider Name: MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
CLIA Number: 42D1054179
Address: 109 PARK PLACE CT
LEXINGTON, SC
ZIP 29072
Phone: (803) 256-4107

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NPI Details

MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA is an orthopaedic surgery in Lexington, SC. 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. MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA NPI is 1649718875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 PARK PLACE CT
LEXINGTON, SC
ZIP 29072-690
Phone: (803) 256-4107

The provider's authorized official is Karen Kimberly Sooter .
The authorized official title is Credentialing Coordinator and has the following contact phone number (803) 256-4107.

The CLIA number assigned to this NPI record is 42D1054179 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 1/19/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207T00000X	Neurological Surgery		No
2	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
3	207X00000X	Orthopaedic Surgery		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA3335	MEDICAID	SOUTH 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: 3/30/2025

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