Provider Demographics
NPI:1558494195
Name:COLUMBUS COUNTY ORTHOPEDICS PA
Entity Type:Organization
Organization Name:COLUMBUS COUNTY ORTHOPEDICS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-642-7737
Mailing Address - Street 1:604 N MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3310
Mailing Address - Country:US
Mailing Address - Phone:910-642-7737
Mailing Address - Fax:910-642-7767
Practice Address - Street 1:604 N MADISON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3310
Practice Address - Country:US
Practice Address - Phone:910-642-7737
Practice Address - Fax:910-642-7767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95-01406207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1416UOtherBCBS OF NC
NC5902935Medicaid
207XX0005XOtherSPECIFIC TAXONOMY
NC2349141Medicare PIN
NCG36575Medicare UPIN