MEDICARE: ORTHOCAROLINA, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	363A00000X	Physician Assistant
4	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
5	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
6	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
7	207XS0106X	Orthopaedic Hand Surgery Physician
8	207XS0117X	Orthopaedic Surgery of the Spine Physician
9	207XX0801X	Orthopaedic Trauma Physician
10	207XP3100X	Pediatric Orthopaedic Surgery Physician
11	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1477887040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOCAROLINA, PA

Provider Business Mailing Address
First Line	:	PO BOX 602179
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2179
Country	:	US
Telephone Number	:	704-323-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7482 WATERSIDE CROSSING BLVD
Second Line	:	SUITE 202
City	:	DENVER
State	:	NC
Zip	:	28037-3005
Country	:	US
Telephone Number	:	704-323-2000
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BRENT SHEAR
Credential	:
Telephone Number	:	704-323-2000

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	07/29/2010

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Directions to “ORTHOCAROLINA, PA ” Practice Location

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