Organization
SOUTHEASTERN ORTHOPEDICS SPORTS MEDICINE & SHOULDER CENTER PA
Active
Organization
SOUTHEASTERN ORTHOPEDICS SPORTS MEDICINE & SHOULDER CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P SPEER MD (PRESIDENT)
(919) 256-1511
Entity
Organization
Contact information
Practice address
3404 WAKE FOREST RD, STE 201, RALEIGH, NC 27609-7341
(919) 256-1511
(919) 256-1530
Mailing address
3404 WAKE FOREST RD, STE 201, RALEIGH, NC 27609-7341
(919) 256-1511
(919) 256-1530
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015W4
BCBS
NC
01
—
154156200
US DEPT OF LABOR
—
01
—
89015W4
MEDICAID
NC
Enumeration date
05/25/2006
Last updated
06/11/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up