Northeast Surgical Specialties, Llc in Concord NC

Northeast Surgical Specialties, Llc is an orthopedic surgery with a current address of 5651 Poplar Tent Rd Suite 200 Concord NC 28027-7530. The NPI is 1730410192, and the license number is (). It was issued on 01/26/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 01/26/2016.

 

Northeast Surgical Specialties, Llc can be reached by phone at 7044037020, by mail at 5651 Poplar Tent Rd Suite 200 Concord NC 28027-7530, or by fax at 7044037039.

 

Thomas Laymon (Sr Vp) is the authorized representative of the organization and can be reached at this phone number: 7044032276.

Name: Northeast Surgical Specialties, Llc

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: Yes

Authorized Name: Thomas Laymon

Authorized Title/Position: Sr Vp

Contact Number: 7044032276

 

Practice Location Address:

5651 Poplar Tent Rd Suite 200

Concord

NC 28027-7530

Telephone Number: 7044037020

Fax Number: 7044037039

Mailing Address:

5651 Poplar Tent Rd Suite 200

Concord

NC 28027-7530

Telephone Number: 7044037020

Fax Number: 7044037039

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1730410192

Enumeration Date: 01/26/2010

Last Update: 01/26/2016

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number:

License State:

 

Taxonomy Group: 193400000x Single Specialty Group

 

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 5914068

Code Type: 5

Identifier State: NC

Identifier Issuer:

 

Other Identifiers (if any):

2342616

1

NC

MEDICARE PTAN, GROUP