Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeastern Orthopaedic Specialists, PA

Organization Orthopaedic Surgery Physician · NPI 1700210606

Southeastern Orthopaedic Specialists, PA is an Orthopaedic Surgery Physician in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 N Church St Ste 100
Greensboro, NC 27401-1041
Phone: (336) 375-2300
Fax: (336) 375-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence BL 6497209 (NC)

Record details

NPI number1700210606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Wainer — Partner · (336) 375-2300
Other names Sports Medicine & Joint Replacement Of Greensboro
NPI enumeratedAugust 27, 2013
Last updated in NPPESJanuary 8, 2014
Mailing address201 E Wendover Ave, Greensboro, NC 27401-1205

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