MOORE ORTHOPAEDIC CLINIC, P.A. – NPI #1033374244
Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
MOORE ORTHOPAEDIC CLINIC, P.A. is an orthopaedic surgeon located in IRMO, SC. NPPES has assigned the NPI number 1033374244 to MOORE ORTHOPAEDIC CLINIC, P.A. on July 28, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOORE ORTHOPAEDIC CLINIC, P.A.” is a dba name, the actual legal business name for this organization is PROVIDENCE ORTHOPAEDIC GROUP, LLC. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.
The NPI profile was previously updated about 16 years ago on Apr 26, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOORE ORTHOPAEDIC CLINIC, P.A. below.
NPI Profile for
PROVIDENCE ORTHOPAEDIC GROUP, LLC
(about 18 years ago)
SUITE 204
IRMO, SC 29063 Phone: (803) 227-8004 Fax: (803) 781-7334
BOSTON, MA 02284-3384 Phone: (803) 227-8004 Fax: (803) 781-7338
CEO
Phone: (803) 227-8152
Identifiers for MOORE ORTHOPAEDIC CLINIC, P.A.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | TAX ID# | SC | 570521956 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207X00000X - Orthopaedic Surgery (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.