Provider Demographics
NPI:1427009299
Name:CAROLINA ORTHOPEDIC ASSOCIATES PA
Entity Type:Organization
Organization Name:CAROLINA ORTHOPEDIC ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:BAXTER
Authorized Official - Last Name:ARMISTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-633-2010
Mailing Address - Street 1:738 NEWMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562
Mailing Address - Country:US
Mailing Address - Phone:252-633-2010
Mailing Address - Fax:252-633-9345
Practice Address - Street 1:738 NEWMAN ROAD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-633-2010
Practice Address - Fax:252-633-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24130207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC014JOOtherBCBS
NC89014JOMedicaid
NC89014JOMedicaid
C81188Medicare UPIN