Orthopedics and Sports Medicine: Meet Our Team

Carolinas Center for Surgery's Orthopedic and Sports Medicine team consists of 3 highly renowned, fellowship trained, Board Certified Orthopedic Surgeons. Our surgeons believe in a team approach between patient and doctor, working together with their Physician Assistants, Nurses and Medical Assistants, Physical and Occupational Therapists, all of whom they have personally chosen to ensure you get the best medical care possible.


Thomas E. Bates
MD, AAOS

Thomas E. Bates, MD, AAOS Dr. Bates is a graduate of LaSalle University and Temple University School of Medicine. He completed his residency in orthopedic surgery at Naval Medical Center Portsmouth, Virginia. He served in the U.S. Navy for eleven years including a tour at MCAS Cherry Point as a Wing and NASA flight surgeon. He served overseas as the Musculoskeletal Department Head at US Naval Hospital Sigonella, Italy. He then completed a Total Joint Fellowship at Johns Hopkins University in Baltimore, specializing in Adult Reconstructive Surgery.

He is board certified by the American Board of Orthopedic Surgery. He is a member of the American Academy of Orthopedic Surgeons and candidate member of the American Association of Hip and Knee Surgeons.

Dr. Bates has a broad range of orthopedic knowledge with a special area of interest in arthritis, fracture care, sports and work related injuries. His field of expertise includes arthroscopic and minimally invasive surgical techniques. He is dedicated to the team approach in patient care, involving local therapists, primary care physicians and the patient's family to ensure a recovery and return to activities.

Dr. Bates practices at Carolinas Center for Surgery and Operates at The Surgical Center of Morehead City and Carteret General Hospital. He lives with his wife and children and has a passion for outdoor sports and activities.



Robert E. Coles
MD, AAOS

Robert E. Coles, MD, AAOS Dr. Coles is a graduate of Harvard and of Duke University Medical School. He received his Orthopedic Surgery Training at Duke University Medical Center where he was chief resident and assistant team physician for both Duke and NCCU. Following his residency, he was a Sports Medicine fellow at the Orthopedic Specialty Hospital in Salt Lake City where he worked with the US Ski Team. He is board certified by the American Board of Orthopedic Surgery.

Dr. Coles is a member of the American Academy of Orthopedic Surgeons, The Southern Orthopedic Association, The American Orthopedic Society for Sports Medicine and the Piedmont Orthopedic Society.

Dr. Coles has a broad range of knowledge in all types of orthopedic problems with a particular interest in Sports Medicine, Complex Knee Surgery, Ligament Reconstruction, Shoulder Surgery, Hand Surgery and Joint Replacement. His expertise includes arthroscopic, micro and minimally invasive surgery. Dr. Coles believes in a team approach between the patient and doctor with physical therapists, occupational therapists and athletic trainers, and recommends nonsurgical treatment when possible.

Dr. Coles practices at Carolinas Center for Surgery and operates at The Surgical Center of Morehead City and at Carteret General Hospital. He is the team physician for several local high schools.



Ashraf F. Guirgues
MD, FAAOS

Ashraf F. Guirgues, MD, FAAOS Dr. Guirgues received his Bachelor of Science degree, Magna Cum Laude, from the University of Pennsylvania and his medical degree from the University of Pittsburgh School of Medicine.

He completed a five-year orthopedic surgery residency at Wayne State University in Detroit, Michigan and a fellowship in spine surgery with Dr. Bruce Darden at the Charlotte Spine Center in North Carolina.

He is a fellow of the American Academy of Orthopedic Surgeons and a member of the North American Spine Society. He is a board certified orthopedic surgeon.

His professional interests are in surgical treatment of spinal disorders of the cervical, thoracic and lumbar spine. He particularly enjoys minimally invasive spinal surgery such as microdiscectomy and minimally invasive lumbar fusion. He performs spine surgery at Carteret General Hospital and The Surgical Center of Morehead City. Dr. Guirgues is an integral part of the Carolinas Center for Joint and Spine at Carteret General Hospital. He is the director of the Carolinas Center for Spine Surgery which includes a spine surgeon, nurse practitioner, nurses and physical therapists working as a cohesive team.

He previously practiced in New Hampshire before joining Carteret Surgical Associates, now Carolinas Center for Surgery, in 2006. He has completed additional training and is qualified to perform artificial disc replacement in the neck and lower back.

He enjoys the wonderful climate of the Crystal Coast of North Carolina. He lives in Morehead City with his wife and three sons.



John M. Marshall
MD, FAAPMR, FAADEP

John M. Marshall, MD, FAAPMR, FAADEP Dr. Marshall was raised in Louisville, KY and attended Oglethorpe University in Atlanta, GA where he graduated Summa Cum Laude with a Bachelor of Science and was named to the 1983 NAIA Academic All-American Basketball Team. He returned to Louisville to attend medical school at University of Louisville, graduating with honors in Neurology and Community Health. Dr. Marshall undertook his internship at University of Louisville, which was followed by his residency at University of Missouri-Columbia where he was Chief Resident. He is a member of the American Academy of Physical Medicine and Rehabilitation, the International Spine Intervention Society, the American Association of Electrodiagnostic Medicine, and the American Academy of Rehabilitative Evaluating Physicians.

For the past 20 years, Dr. Marshall has had his own physiatry practice in the Tri-Cities region of Tennessee, providing non-surgical orthopedic care of injuries and disorders of muscles, nerves and joints, including the spine. Dr. Marshall is skilled in electrodiagnostic studies such as EMG and Nerve Conduction Velocity, and in both conservative and interventional spine care, including nerve blocks and other injections. Dr. Marshall has now joined Carolinas Center for Surgery, bringing his expertise in Physical Medicine and Rehabilitation to the Crystal Coast. He has a wonderful wife, who is an occupational therapist, and three children.



Gary Wertman
DO

Gary Wertman, DO Dr. Wertman is a native of Central Pennsylvania. He graduated from Penn State University with a degree in biology. He received his doctorate degree from the Philadelphia College of Osteopathic Medicine. While in medical school, he obtained the Rowland Scholar Athlete award for his academic and athletic accomplishments.

He completed a five-year orthopedic surgery residency at Pinnacle Health in Harrisburg, Pennsylvania and was appointed the chief orthopedic resident in his senior year. In residency he received extensive training in orthopedic trauma along with foot and ankle injuries at the Penn State Milton Hershey Medical Center.

Dr. Wertman practices general orthopedics with special interests in joint replacement and sports medicine. His specialties include hip arthroscopy, treating a number of pelvic disorders with this minimally invasive technology. Additionally he is one of the few surgeons in the area trained in anterior supine hip arthroplasty. This cutting edge procedure allows for accelerated recovery time, reduced pain, and rapid stability. He strongly believes in the team concept in patient care. This involves the coordination of physical therapists, primary care physicians, and the patient’s family in order to achieve the optimal patient outcome.

He is a candidate member of the American Academy of Orthopaedic Surgeons (AAOS), American Osteopathic Academy of Orthopaedics (AOAO) and the American Osteopathic Association (AOA).





Jason Fisher
ATC PA-C

Josh Detrick Jason Fisher is a graduate of South College’s Masters of Health Science Physician Assistant program in Knoxville, Tennessee. Prior to this, Jason was awarded a Bachelors of Science in Athletic Training from the University of Charleston in Charleston, WV where he also played NCAA Division II varsity baseball and graduated with honors. It was here where he also met the woman of his dreams with whom he shares many interests including most any outdoor activity. Originally from Colorado, Jason is not foreign to an abundance of sunny days and looks forward to new adventures here on the coast. With his background as a Certified Athletic Trainer, Jason spent several years keeping competitive athletes healthy and active. Because of this, today Jason especially enjoys working with physically active and motivated patients to restore them to their daily activities, whether it is varsity track and field or walking for pleasure. Jason works with Dr. Coles in general orthopedics and sports medicine both in the clinic and in the operating room. Together their goal is excellent patient care and satisfaction.



Cecilia Ohman
MSN, ACNP-BC, RNFA

Cecilia Ohman, MSN, ACNP-BC, RNFA Cecilia Ohman is an Acute Care Nurse Practitioner, Registered Nurse First Assistant specializing in Orthopedics-Spine Surgery. She is board certified by the American Nurses Credentialing Center. She began a nursing career in 1990, graduating with a Bachelor's degree from Worcester State College.

Although she and her husband were born and raised in Worcester, MA, they relocated to Washington state in 1992 where they lived for 13 years. Cecilia practiced nursing in a variety of settings in the hospital including Emergency, Intensive Care and the cardiac anesthesia team. In 2004 Cecilia and her family moved to Birmingham, Alabama so that she could pursue graduate studies in Nursing Education and Advanced Practice. While in Birmingham she earned a Masters degree from Samford University in Nursing Education, taught baccalaureate and licensed practical nursing students and built upon her career in acute care nursing to become a nurse practitioner. During Nurse Practitioner studies at the University of Alabama, Birmingham she focused her residency in Orthopedics and Spine surgery.

Cecilia is delighted to be a part of the Carolinas Center for Surgery team working as assistant to Dr. Ashraf Guirgues. Cecilia has been married to her husband Doug for 25 years, they have two children. They enjoy the outdoors, athletics and time together with family.



Steve Huber
PA

Steve Huber Steve graduated from Lock Haven University of Pennsylvania and came to Morehead City to practice in Orthopedics in 1999. Steve works with Dr. Bates in general orthopedics and joint replacement. He loves to spend quality time with his patients and knows most on a personal level. He is married and has two daughters. Steve enjoys outdoor sports and takes advantage of these as often as possible.


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