ORTHOPEDIC SPECIALTY CLINIC, LTD (NPI# 1053691964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053691964 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC SPECIALTY CLINIC, LTD |
| Practice Address |
9530 Cosner Dr Suite 101 Fredericksburg VA 22408-7760 |
| Mailing Address |
2800 Wellford St Suite 200 Fredericksburg VA 22401-3176 |
| Practice Telephone | 5403611830 |
| Practice Fax Number | 5403611829 |
| Mailing Telephone | 5403611830 |
| Mailing Fax Number | 5403611829 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Authorized Official Name | LINDA P MAHEU (ADMINISTRATOR) |
| Authorized Official Telephone | 5403611830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861877581 | Orthopedic Specialty Clinic, Ltd | Non-Pharmacy Dispensing Site | 9530 Cosner Dr, Suite 100, Fredericksburg, VA 22408-7760 | 2015-07-23 |
| Street Address |
9530 COSNER DR SUITE 101 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-7760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043267479 | Frank Snow | Internal Medicine | 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-7760 | 2006-05-30 |
| 1386167104 | Katelyn Young | Physical Medicine & Rehabilitation | 9530 Cosner Dr, Fredericksburg, VA 22408-7760 | 2017-07-24 |
| 1053796607 | Tracy Thomas Germaine | Nurse Practitioner | 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-7760 | 2015-07-24 |
| 1861877581 | Orthopedic Specialty Clinic, Ltd | Non-Pharmacy Dispensing Site | 9530 Cosner Dr, Suite 100, Fredericksburg, VA 22408-7760 | 2015-07-23 |
| 1427467661 | Samantha Cogil | Registered Nurse | 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-7760 | 2014-08-12 |
| 1902241268 | Brett Joseph Waverly | Podiatrist | 9530 Cosner Dr, Fredericksburg, VA 22408-7760 | 2013-05-01 |
| 1972812147 | Jill Lauren Hale | Registered Nurse | 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-7760 | 2010-10-05 |
| 1134457898 | Rajiv Tayal | Internal Medicine | 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-7760 | 2009-11-18 |
| 1801024708 | Selomie Mequanint Kebede | Internal Medicine | 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-7760 | 2009-06-30 |
| 1124158829 | Zeshan A Rana | Internal Medicine | 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-7760 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811124910 | Clint Royal Beicker | Orthopaedic Surgery | 204 W Windcrest St, Fredericksburg, TX 78624-4408 | 2009-06-16 |
| 1205846482 | Peter Charles Romanick Sr. | Orthopaedic Surgery | 204 West Windcrest, Fredericksburg, TX 78624-4408 | 2006-08-09 |
| 1699707075 | Jan-eric Esway | Orthopaedic Surgery | 4701 Spotsylvania Pkwy Ste 203, Fredericksburg, VA 22407-9435 | 2006-07-07 |
| 1295766376 | Orthopedic Specialty Clinic Ltd | Orthopaedic Surgery | 2800 Wellford St Ste 100, Fredericksburg, VA 22401-3176 | 2006-07-06 |
| 1003805359 | Philip S. Harry | Orthopaedic Surgery | 501 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2005-10-19 |
| 1386633907 | Andre Eglevsky | Orthopaedic Surgery | 2201 Charles St, Fredericksburg, VA 22401-3378 | 2005-10-17 |
| 1407477409 | Rappahannock Orthopedics | Orthopaedic Surgery | 501 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2020-04-30 |
| 1477045151 | Paul Phillips IIi, M.d., P.a. | Orthopaedic Surgery | 1305 N Milam St, Fredericksburg, TX 78624 | 2018-05-30 |
| 1700246089 | Jan-eric Esway, Md Pllc | Orthopaedic Surgery | 4701 Spotsylvania Pkwy Ste 203, Fredericksburg, VA 22407-9435 | 2016-03-01 |
| 1548632748 | Agility Orthopaedics and Sports | Orthopaedic Surgery | 1305 N Milam St, Fredericksburg, TX 78624-2752 | 2015-10-27 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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| 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.