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
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
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
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
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
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 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.
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 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.