| Southeastern Orthopaedic Specialists, Pa | |
|
1915 Lendew St Greensboro NC 27408-7033 | |
| (336) 275-3325 | |
| (336) 275-5346 |
| Full Name | Southeastern Orthopaedic Specialists, Pa |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1915 Lendew St, Greensboro, North Carolina |
| Authorized Official Name and Position | Frank J Rowan (SENIOR PARTNER) |
| Authorized Official Contact | 3362753325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Orthopaedic Specialists, Pa 1915 Lendew St Greensboro NC 27408-7033 Ph: (336) 275-3325 | Southeastern Orthopaedic Specialists, Pa 1915 Lendew St Greensboro NC 27408-7033 Ph: (336) 275-3325 |
| NPI Number | 1790724706 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 06/23/2014 |
| Medicare PECOS PAC ID | 4587568472 |
|---|---|
| Medicare Enrollment ID | O20031121000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790724706 | NPI | - | NPPES |
| 890180G | Medicaid | NC |
| Provider Name | Nicole C Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386687259 PECOS PAC ID: 0244225373 Enrollment ID: I20040419000359 |
| Provider Name | Suzanne C Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760407506 PECOS PAC ID: 8527058536 Enrollment ID: I20040513000137 |
| Provider Name | Raymond Kargo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174504104 PECOS PAC ID: 4486736105 Enrollment ID: I20080207000156 |
| Provider Name | Andrew G Ingle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952645053 PECOS PAC ID: 4981849080 Enrollment ID: I20130320000353 |
| Provider Name | Timothy Daniel Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134380603 PECOS PAC ID: 8325266950 Enrollment ID: I20140824000032 |
| Provider Name | Deborah Lee Sivret |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760463707 PECOS PAC ID: 5193090074 Enrollment ID: I20171003004634 |
| Provider Name | Paige Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013551605 PECOS PAC ID: 0345673067 Enrollment ID: I20191210001557 |
| Provider Name | Lianna Katherine Demko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023796422 PECOS PAC ID: 1850734435 Enrollment ID: I20240212000026 |
| Provider Name | Garrett Scott Naze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053542126 PECOS PAC ID: 4486818820 Enrollment ID: I20240502000248 |
| Provider Name | Jerry Joseph Amash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013126598 PECOS PAC ID: 6103362827 Enrollment ID: I20240718001257 |
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