ORTHOVIRGINIA INC. NPI 1033548441

NPI Information

NPI: 1033548441
Provider Name: ORTHOVIRGINIA, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 49D2251901

Address:
4710 PUDDLEDOCK ROAD
SUITE 100
PRINCE GEORGE, VA
ZIP 23875
Phone: (804) 915-4604
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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	Primary
1	363L00000X	Nurse Practitioner		No
2	207X00000X	Orthopaedic Surgery		No
3	363A00000X	Physician Assistant		No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 5/5/2024

NPI Synchronization or Removal

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