MOORE ORTHOPAEDIC CLINIC
NPI 1285674572
Orthopaedic Surgery in Lexington, SC

Active since June 07, 2006
4721 SUNSET BLVD, SUITE A, LEXINGTON, SC 29072(803) 227-8007(803) 996-3180 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moore Orthopaedic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOORE ORTHOPAEDIC CLINIC (NPI 1285674572) is a healthcare organization registered as an orthopaedic surgery in Lexington, South Carolina and active in the NPI registry since June 2006. The organization lists Sean Mcnally, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285674572
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePROVIDENCE ORTHOPAEDIC GROUP
Location Address4721 SUNSET BLVD, SUITE ALexington, SC 29072-9151
Mailing AddressP.o. Box 843384Boston, MA 02284-3384 · (803) 227-8007 · Fax (803) 996-3180
Fax(803) 996-3180
Organization SubpartNo
Authorized OfficialSean McnallyCeo · (803) 227-8152
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 29, 2010
NPI 1285674572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SC · 570521956
Definition
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.
4721 SUNSET BLVD, Lexington, SC 29072

Other Names 1

Doing Business AsMoore Orthopaedic Clinic

Other Identifiers 5

MedicaidPA0686SC
Medicare PIN1314SC
Other14979900001SC · Medicare Dme#
OtherDM0194SC · Medicaid Dme#
Other570521956-009SC · Bc/bs Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
4721 SUNSET BLVD, SUITE D
LEXINGTON, SC 29072
Occupational Therapist
4721 SUNSET BLVD
LEXINGTON, SC 29072
Occupational Therapist
4721 SUNSET BLVD, SUITE A
LEXINGTON, SC 29072
Occupational Therapist (Hand)
4721 SUNSET BLVD
LEXINGTON, SC 29072
Dietitian, Registered
4721 SUNSET BLVD, SUITE D
LEXINGTON, SC 29072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Orthopaedic Group's NPI number?

The NPI number for Providence Orthopaedic Group is 1285674572. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Moore Orthopaedic Clinic.

Where is Providence Orthopaedic Group located?

Providence Orthopaedic Group is located at 4721 Sunset Blvd Suite A, Lexington, SC 29072. The listed phone number is (803) 227-8007.

What is Providence Orthopaedic Group's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Providence Orthopaedic Group was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.