Providence Orthopedic Group, LLC
NPI 1467875054 · Orthopaedic Surgery Physician · Irmo, SC
Providence Orthopedic Group, LLC is a Orthopaedic Surgery Physician organization in Irmo, SC (NPI 1467875054).
Provider details
- NPI number
- 1467875054
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matt Frick, Avp, Outpatient Services(803) 227-8104
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Moore Center for Orthopedics
Registry dates
- Enumerated
- 2014-02-03
- Last updated
- 2014-02-03
Frequently asked questions
- What is Providence Orthopedic Group, LLC's NPI number?
- Providence Orthopedic Group, LLC's National Provider Identifier (NPI) is 1467875054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Orthopedic Group, LLC?
- Providence Orthopedic Group, LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Orthopedic Group, LLC located?
- Providence Orthopedic Group, LLC's practice location on file with NPPES is 7936 Broad River Rd, Irmo, SC 29063-2355.
- What is Providence Orthopedic Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Orthopedic Group, LLC is (803) 227-8000.
- Who is the authorized official for Providence Orthopedic Group, LLC?
- The authorized official listed on Providence Orthopedic Group, LLC's NPPES record is Matt Frick, Avp, Outpatient Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Orthopedic Group, LLC's NPI active?
- Yes — Providence Orthopedic Group, LLC's NPI (1467875054) is active in the NPPES registry as of the last update on 2014-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.