ADVANCED SPINE AND PAIN PLLC (NPI# 1134748221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134748221 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE AND PAIN PLLC |
| Practice Address |
11230 Waples Mill Rd Ste 114c Fairfax VA 22030-5026 |
| Mailing Address |
450 Garrisonville Rd # 210 Stafford VA 22554-1615 |
| Practice Telephone | 7035222727 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | THOMAS J RALEY (OWNER) |
| Authorized Official Telephone | 7035222727 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478332 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 550 Ritchie Hwy Ste K, Severna Park, MD 21146-2953 | 2020-05-14 |
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1255695490 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 | 2012-07-03 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1609498179 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 3500 Boston St Ste J2, Baltimore, MD 21224-5251 | 2020-05-07 |
| 1225657281 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2296 Opitz Blvd Ste 210, Woodbridge, VA 22191-3345 | 2020-04-10 |
| 1437627080 | Advanced Spine and Pain Pllc | Anesthesiology | 11760 S 700 E Ste 112, Draper, UT 84020-6605 | 2018-11-12 |
| 1659722882 | Advanced Spine and Pain Pllc | Anesthesiology | 22255 Greenfield Rd, Suite 500, Southfield, MI 48075-3710 | 2016-06-29 |
| 1831467166 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2011-12-01 |
| 1215266267 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2009-12-21 |
| Street Address |
11230 WAPLES MILL RD STE 114C |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1134384720 | Bradley Boyd | Orthopaedic Surgery | 3620 Jospeh Siewick Dr Ste 201, Fair Oaks Orthopaedic Associates, Fairfax, VA 22033 | 2008-07-23 |
| 1831289206 | Laurel Claire Blakemore | Orthopaedic Surgery | 3023 Hamaker Ct Ste 200, Fairfax, VA 22031-2240 | 2006-10-13 |
| 1295829893 | Commonwealth Orthopaedics & Rehabilitation, PC | Orthopaedic Surgery | 11240 Waples Mill Road, Suite 403, Fairfax, VA 22030 | 2006-10-03 |
| 1740223932 | Robert A Hymes | Orthopaedic Surgery | 8503 Arlington Blvd Ste 200, Fairfax, VA 22031-4629 | 2006-06-14 |
| 1720088941 | Aram Orthopaedics, P.C. | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2005-07-29 |
| 1114470606 | George Mason University | Orthopaedic Surgery | 4400 University Dr, Fairfax, VA 22030-4422 | 2016-08-01 |
| 1588066740 | Orthovirginia Inc. | Orthopaedic Surgery | 11240 Waples Mill Rd, Suite 403, Fairfax, VA 22030-6078 | 2014-09-19 |
| 1154769040 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030 | 2013-06-12 |
| 1487091534 | Aaron Rich Ducoffe | Orthopaedic Surgery | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2013-05-30 |
| 1629414339 | Ugochi Okoroafor-ridgway | Orthopaedic Surgery | 8501 Arlington Blvd Ste 200, Fairfax, VA 22031-4625 | 2013-05-21 |
| Find all providers in FAIRFAX | ||||
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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.