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SOUTHEASTERN ORTHOPAEDIC SPECIALISTS PA NPI 1700210606


NPI Information

NPI: 1700210606
Provider Name: SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA

Doing Business As: SPORTS MEDICINE & JOINT REPLACEMENT OF GREENSBORO

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1130 N CHURCH ST STE 100
GREENSBORO, NC
ZIP 27401
Phone: (336) 375-2300
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SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA is an orthopaedic surgery in Greensboro, 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. SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA NPI is 1700210606. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sports Medicine & Joint Replacement Of Greensboro.

The provider's business location address is:

1130 N CHURCH ST STE 100
GREENSBORO, NC
ZIP 27401-041
Phone: (336) 375-2300
Fax: (336) 375-2314

The provider's authorized official is Robert A Wainer .
The authorized official title is Partner and has the following contact phone number (336) 375-2300.

The enumeration date for this NPI number is 8/27/2013 and was last updated on 1/8/2014.


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 SurgeryBL 6497209NORTH CAROLINAYes

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

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