Organization
NORTHEAST SURGICAL SPECIALTIES, LLC
Active
Organization
NORTHEAST SURGICAL SPECIALTIES, LLC
Active
Parent organization
NORTHEAST SURGICAL SPECIALTIES, LLC
Other names
Piedmont Orthopedic Specialists - Poplar Tent
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST SURGICAL SPECIALTIES, LLC
Authorized official
THOMAS F LAYMON (SR VP)
(704) 403-2276
Entity
Organization
Contact information
Practice address
5651 POPLAR TENT RD, SUITE 200, CONCORD, NC 28027-7530
(704) 403-7020
(704) 403-7039
Mailing address
5651 POPLAR TENT RD, SUITE 200, CONCORD, NC 28027-7530
(704) 403-7020
(704) 403-7039
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2342616
MEDICARE PTAN, GROUP
NC
05
—
5914068
—
NC
01
—
DO1210
RAILROAD MEDICARE PTAN
NC
Enumeration date
01/26/2010
Last updated
01/26/2016
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