Organization
EMERGEORTHO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCI HARVEY (DIRECTOR OF VBO)
(704) 942-4391
Entity
Organization
Contact information
Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
39442
NC
207L00000X
Anesthesiology Physician
39442
NC
207RR0500X
Rheumatology Physician
39442
NC
207X00000X
Orthopaedic Surgery Physician
Primary
39442
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
39442
NC
208100000X
Physical Medicine & Rehabilitation Physician
39442
NC
2084N0400X
Neurology Physician
39442
NC
2085R0204X
Vascular & Interventional Radiology Physician
39442
NC
208600000X
Surgery Physician
39442
NC
2086S0105X
Surgery of the Hand (Surgery) Physician
39442
NC
213E00000X
Podiatrist
39442
NC
225100000X
Physical Therapist
39442
NC
225X00000X
Occupational Therapist
39442
NC
363A00000X
Physician Assistant
39442
NC
363LA2200X
Adult Health Nurse Practitioner
39442
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004446928
AETNA, PPO
NC
01
—
0098095
AETNA, HMO
NC
01
—
02837
BCBS
NC
01
—
0401990001
MEDICARE PTAN
NC
01
—
371772200
US DEPT. OF LABOR
NC
01
—
722786
UPMC
NC
05
—
8902837
—
NC
01
—
CC8880
RAILROAD MEDICARE
NC
Enumeration date
05/09/2006
Last updated
02/09/2026
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