ORTHOVIRGINIA INC. NPI 1033548441

NPI Information

  • NPI: 1033548441
  • Provider Name: ORTHOVIRGINIA, INC.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 49D2251901
  • Address: 4710 PUDDLEDOCK ROAD
    SUITE 100
    PRINCE GEORGE, VA
    ZIP 23875
  • Phone: (804) 915-4604

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NPI Details

ORTHOVIRGINIA, INC. is a multi-specialty clinic center in Prince George, VA. ORTHOVIRGINIA, INC. NPI is 1033548441. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4710 PUDDLEDOCK ROAD
SUITE 100
PRINCE GEORGE, VA
ZIP 23875-237
Phone: (804) 915-4604

The provider's authorized official is Nicole Proffitt .
The authorized official title is Credentialing & Enrollment and has the following contact phone number (804) 533-2357.

The CLIA number assigned to this NPI record is 49D2251901 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 3/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2207X00000XOrthopaedic SurgeryNo
3363A00000XPhysician AssistantNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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