OLD DOMINION PROSTHETICS & ORTHOTICS, INC. (NPI# 1316120546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316120546 |
| Entity Type | Organization |
| Organization Name | OLD DOMINION PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
612 Rio Rd W Charlottesville VA 22901-1412 |
| Practice Telephone | 4349736209 |
| Practice Fax Number | 4349731774 |
| Mailing Telephone | 4349736209 |
| Mailing Fax Number | 4349731774 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | MRS. CATHERINE GARRISON (MANAGER) |
| Authorized Official Telephone | 4349736209 |
| Is Organization Subpart | Y |
| Parent Organization Name | OLD DOMINION PROSTHETICS & ORTHOTICS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 106977 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346340262 | Old Dominion Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 2050 Langhorne Rd, Suite 200, Lynchburg, VA 24501-1402 | 2006-09-22 |
| 1811095516 | Old Dominion Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1920 Medical Ave, Suite G, Harrisonburg, VA 22801-8016 | 2006-09-20 |
| Street Address |
612 RIO RD W |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467564005 | Ivan E Letner Jr. | Durable Medical Equipment & Medical Supplies | 612 Rio Rd W, Charlottesville, VA 22901-1412 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083989610 | Christopher B Stewart Dpm PC | Durable Medical Equipment & Medical Supplies | 600 Peter Jefferson Pkwy Ste 305, Charlottesville, VA 22911-8835 | 2012-03-15 |
| 1467564005 | Ivan E Letner Jr. | Durable Medical Equipment & Medical Supplies | 612 Rio Rd W, Charlottesville, VA 22901-1412 | 2006-08-31 |
| 1205459864 | Icarus Medical, LLC. | Durable Medical Equipment & Medical Supplies | 105 E Main St, Charlottesville, VA 22902-5223 | 2020-05-18 |
| 1194169979 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1717 Allied St, Charlottesville, VA 22903-5320 | 2013-04-23 |
| 1154353647 | 03 Investments, Inc. | Durable Medical Equipment & Medical Supplies | 310 Avon St, Suite 12, Charlottesville, VA 22902-5750 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319735 | Recovery Trek, LLC | Durable Medical Equipment & Medical Supplies | 440 Monticello Ave Ste 100, Norfolk, VA 23510-2671 | 2020-08-31 |
| 1043849524 | Remote Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 15721 Wc Main St, Midlothian, VA 23113-7327 | 2020-04-06 |
| 1457983298 | Commonwealth Dental Sleep Medicine Inc | Durable Medical Equipment & Medical Supplies | 10601 Greenyard Way, Chester, VA 23831-1485 | 2020-02-10 |
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1154895449 | Xensan LLC | Durable Medical Equipment & Medical Supplies | 6547 Orland St, Falls Church, VA 22043-1813 | 2019-01-19 |
| 1851862940 | H. Charles Jelinek Jr. Dds | Durable Medical Equipment & Medical Supplies | 8505 Arlington Blvd Ste 260, Fairfax, VA 22031-4636 | 2018-12-16 |
| 1174099964 | Robin Melody Delbiondo | Durable Medical Equipment & Medical Supplies | 108 Ana Marie Blvd, Waynesboro, VA 22980-9607 | 2018-10-18 |
| 1366925398 | Mpower Me, LLC | Durable Medical Equipment & Medical Supplies | 73 Seven Ponds Rd, Amissville, VA 20106-4212 | 2018-09-14 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1346736014 | Riverside Builders LLC | Durable Medical Equipment & Medical Supplies | 130 Swift Creek Ln, Colonial Heights, VA 23834-1631 | 2018-07-06 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
Please comment or provide details below to improve the information on OLD DOMINION PROSTHETICS & ORTHOTICS, 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.