SPORT MEDICINE AND ORTHOPAEDIC CENTER INC (NPI# 1043246556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043246556 |
| Entity Type | Organization |
| Organization Name | SPORT MEDICINE AND ORTHOPAEDIC CENTER INC |
| Practice Address |
501 Discovery Dr. Chesapeake VA 23320 |
| Mailing Address |
814 Greenbrier Cir Suite F Chesapeake VA 23320-2643 |
| Practice Telephone | 7575475145 |
| Practice Fax Number | 7574362480 |
| Mailing Telephone | 7575475145 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | TODD RAUCHENBERGER (ADMINISTRATOR) |
| Authorized Official Telephone | 7575475145 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD | CL7629 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699336966 | Sport Medicine and Orthopaedic Center Inc | Podiatrist | 1301 Armory Dr, Franklin, VA 23851-2419 | 2019-06-26 |
| 1619445426 | Sport Medicine and Orthopaedic Center Inc | Orthopaedic Surgery | 150 Burnetts Way Ste 100, Suffolk, VA 23434-8168 | 2018-11-09 |
| 1699243402 | Sport Medicine and Orthopaedic Center Inc | Orthopaedic Surgery | 3920a Bridge Rd Ste 301, Suffolk, VA 23435-1125 | 2018-11-09 |
| Street Address |
501 DISCOVERY DR. |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640365 | Samuel Isaac Brown | Orthopaedic Surgery | 501 Discovery Dr., Chesapeake, VA 23320 | 2005-06-23 |
| 1609326735 | Victoria Miller | Physical Therapist | 501 Discovery Dr., Chesapeake, VA 23320 | 2016-10-13 |
| 1306297551 | Kristin Anglin | Physical Therapist | 501 Discovery Dr., Chesapeake, VA 23320 | 2016-06-29 |
| 1902178577 | Lena Nicole Sifen | Physician Assistant | 501 Discovery Dr., Chesapeake, VA 23320 | 2012-01-30 |
| 1750542809 | Victor Wei Tseng | Physical Medicine & Rehabilitation | 501 Discovery Dr., Chesapeake, VA 23320 | 2008-06-21 |
| 1083625461 | Timothy S Winkler | Physician Assistant | 501 Discovery Dr., Ste 103, Chesapeake, VA 23320 | 2006-08-10 |
| 1649235854 | Richard D. Guinand | Family Medicine | 501 Discovery Dr., Chesapeake, VA 23320 | 2006-04-19 |
| 1841267994 | Alireza Jamali | Orthopaedic Surgery | 501 Discovery Dr., Suite 111, Chesapeake, VA 23320 | 2006-03-07 |
| 1891793410 | David G Goss | Specialist | 501 Discovery Dr., Chesapeake, VA 23320 | 2005-07-08 |
| 1184621088 | Jennifer Cowand | Physical Therapist | 501 Discovery Dr., Chesapeake, VA 23320-4931 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751148 | Sideline Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 125 Akers Farm Rd Ste C&d, Christiansburg, VA 24073-4866 | 2019-07-08 |
| 1881171718 | Franklin Clinic Corp | Orthopaedic Surgery | 210 Fairview Dr Ste A, Franklin, VA 23851-1216 | 2018-07-24 |
| 1932638921 | Sideline Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 1787 W. Lee Hwy, Forest Medical Park, Unit B, Bldg 2, Wytheville, VA 24382-1437 | 2017-06-05 |
| 1477956878 | Virginia Commonwealth University | Orthopaedic Surgery | 821 W Franklin St, Richmond, VA 23284-9012 | 2014-09-30 |
| 1871920132 | Mark T Wolfe | Orthopaedic Surgery | 3906 Breezeport Way, Apt 105, Suffolk, VA 23435-1080 | 2013-10-02 |
| 1750724167 | Ryan Austin Harrell | Orthopaedic Surgery | 5818 Harbour View Blvd Ste 150d, Suffolk, VA 23435-3327 | 2013-04-16 |
| 1306088687 | Nathan William Coleman | Orthopaedic Surgery | 13350 Franklin Farm Rd Ste 220, Herndon, VA 20171-4095 | 2009-04-01 |
| 1497923288 | Ryan Glenn Miyamoto | Orthopaedic Surgery | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2008-02-14 |
| 1467662791 | Stephen F. Brockmeier | Orthopaedic Surgery | 515 Ray C Hunt Dr Ste 1100, Charlottesville, VA 22903-2981 | 2007-05-23 |
| 1386706620 | David R. Diduch | Orthopaedic Surgery | 515 Ray C. Hunt Dr, Charlottesville, VA 22903-2981 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on SPORT MEDICINE AND ORTHOPAEDIC CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.