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Licensee Information

John Michael Neidecker - DO
2014-01715
Active
No
07/31/2014
04/27/2027

Active Supervisees

NameTypeStatusApprovedInactive
Demeyere, Benjamin Scott Physician Assistant Active 08/18/2023
Valdivia, Tristin Nurse Practitioner Active 05/10/2019

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
New Jersey
Ohio
Pennsylvania

Out of Country Active/Inactive Licenses

Country
None Reported

Address

Orthopaedic Specialists of North Carolina
11221 Galleria Ave
Suite 101
Raleigh, NC 27614
919-562-9410

Information

Medical School

SchoolGraduation
University Of Medicine and Dentistry of New Jersey - Osteopathic Med Stratf2007

Post Graduate Training

"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)

InstitutionSpecialtyState, CountryTraining ProgramLast Year
Cleveland ClinicSports Medicine OH, US Fellowship2011
UMDNJ - School of Osteopathic MedicineFamily Practice NJ, US Residency2010
UMDNJ- School of Osteopathic MedicineFamily Practice NJ, US Internship2008

Current Board Certification and Year of Certification/Recertification

Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.

Primary/SubspecialtyYear
Family Practice (and OMT)2010
Sports Medicine2012

Area of Practice

Area Of PracticePrimary
Family Medicine - Sports MedicineYes
Sports Medicine 
Urgent Care 

Current Membership in Medical Professional Organizations

Membership
None Reported

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

DateDescriptionLink
None Reported

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 8/20/2026 2:32:50 AM

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