MOORE ORTHOPAEDIC CLINIC – NPI #1417142662
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 is an orthopaedic surgeon located in LEXINGTON, SC. NPPES has assigned the NPI number 1417142662 to MOORE ORTHOPAEDIC CLINIC on September 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOORE ORTHOPAEDIC CLINIC” 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 Oct 22, 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 below.

NPI Profile for
PROVIDENCE ORTHOPAEDIC GROUP LLC

NPI Number
1417142662
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE ORTHOPAEDIC GROUP LLC
Doing Business As (dba): MOORE ORTHOPAEDIC CLINIC
Primary location
104 SALUDA POINTE DRIVE
LEXINGTON, SC 29072
Phone: (803) 227-8000 Fax:
Mailing address
PO BOX 9592
BELFAST, ME 04915-9592
Phone: (803) 227-8000 Fax:
Organization Subpart
No
Authorized Official
SEAN MCNALLY
CEO
Phone: (803) 227-8152
Updated
Identifiers

Identifiers for MOORE ORTHOPAEDIC CLINIC

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.

DescriptionIssuerStateIdentifier
MEDICAIDSCPA0686
Taxonomy Code(s)

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.