Provider Demographics
NPI:1124356423
Name:TOTAL JOINT CARE, PA
Entity Type:Organization
Organization Name:TOTAL JOINT CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:STRUBLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-277-0427
Mailing Address - Street 1:115 PARKWAY OFFICE CT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7423
Mailing Address - Country:US
Mailing Address - Phone:919-277-0427
Mailing Address - Fax:919-233-4492
Practice Address - Street 1:115 PARKWAY OFFICE CT
Practice Address - Street 2:SUITE 101
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7423
Practice Address - Country:US
Practice Address - Phone:919-277-0427
Practice Address - Fax:919-233-4492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200500675207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty