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SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC NPI 1255431250


NPI Information

NPI: 1255431250
Provider Name: SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
809 DAVIS ST
SUITE 2
BLACKSBURG, VA
ZIP 24060
Phone: (540) 951-6000
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SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC is an orthopaedic surgery in Blacksburg, VA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC NPI is 1255431250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

809 DAVIS ST
SUITE 2
BLACKSBURG, VA
ZIP 24060-013
Phone: (540) 951-6000
Fax: (540) 951-9400

The provider's authorized official is William Tedrick Johnson .
The authorized official title is Vp and has the following contact phone number (804) 237-7760.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 12/21/2010.


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
1207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16409020001MEDICARE NSCVIRGINIA
2DG1185MEDICARE UPINVIRGINIA
3C10068MEDICARE PINVIRGINIA
41255431250MEDICAIDVIRGINIA
5DG1185OTHERVIRGINIARR MEDICARE

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

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