PAIN MANAGEMENT & ORTHOPEDIC CENTER PC (NPI# 1336444397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336444397 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT & ORTHOPEDIC CENTER PC |
| Practice Address |
5320 Providence Rd Suite 204 Virginia Beach VA 23464-4122 |
| Practice Telephone | 7579622121 |
| Practice Fax Number | 7579621911 |
| Mailing Telephone | 7579622121 |
| Mailing Fax Number | 7579621911 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | DR. TRACEY O PENNINGTON (PRESIDENT) |
| Authorized Official Telephone | 7579622121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101034150 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1336444397 | 01 |
| Street Address |
5320 PROVIDENCE RD SUITE 204 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902871130 | Katherine P Law | Family Medicine | 5320 Providence Rd, Ste 301, Virginia Beach, VA 23464 | 2006-02-21 |
| 1689008559 | Sarah B Rorick | Physician Assistant | 5320 Providence Rd, Virginia Beach, VA 23464-4122 | 2013-08-28 |
| 1700903325 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 5320 Providence Rd, Virginia Beach, VA 23464-4122 | 2007-03-26 |
| 1508946104 | Marc Anthony Mcaninley | Physician Assistant | 5320 Providence Rd, Suite 101, Virginia Beach, VA 23464-4122 | 2006-10-17 |
| 1154339158 | Francis V Javier | Family Medicine | 5320 Providence Rd, Ste 301, Virginia Beach, VA 23464-4122 | 2006-08-04 |
| 1497791669 | Tracey O Pennington | Physical Medicine & Rehabilitation | 5320 Providence Rd, Suite 204, Virginia Beach, VA 23464-4122 | 2006-06-22 |
| 1144283516 | Dennis L. Hufford | Family Medicine | 5320 Providence Rd, Suite 301, Virginia Beach, VA 23464-4122 | 2006-04-07 |
| 1992771521 | Ravinder Mohan | Family Medicine | 5320 Providence Rd, Suite 301, Virginia Beach, VA 23464-4122 | 2006-02-24 |
| 1548235849 | Meredith B Rose | Family Medicine | 5320 Providence Rd, Ste 301, Virginia Beach, VA 23464 | 2006-02-21 |
| 1255306544 | Francisco A Espada | Family Medicine | 5320 Providence Rd, Ste 301, Virginia Beach, VA 23464 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885945 | R. Valentine, Jr., LLC | Specialist | 700 Independence Cir Ste 2a, Virginia Beach, VA 23455-6405 | 2017-11-22 |
| 1104281104 | Mary Jane Beachum | Specialist | 3833 Old Forge Rd, Virginia Beach, VA 23452 | 2015-12-18 |
| 1376913376 | Urology of Virginia, Pllc | Specialist | 229 Clearfield Ave, Suite 300, Virginia Beach, VA 23462-1815 | 2015-10-02 |
| 1598105199 | Ave' Maria Bullard | Specialist | 5998 Providence Rd, Suite 106, Virginia Beach, VA 23464-3824 | 2013-06-27 |
| 1205120169 | Yuko Kimura | Specialist | 2001 Concert Dr, Virginia Beach, VA 23456-8088 | 2011-06-07 |
| 1528371531 | Victoria A Battaglia | Specialist | 1725 Meredith Rd, Virginia Beach, VA 23455-3224 | 2010-07-19 |
| 1225341571 | Jacqueline Michelle Parsons | Specialist | 2317 Beach Haven Dr Apt 103, Virginia Beach, VA 23451-1257 | 2010-07-15 |
| 1831415512 | Rene' Johnson | Specialist | 700 Baker Road, Suite 115, Virginia Beach, VA 23462 | 2010-04-20 |
| 1083941652 | Nancy Suzanne Harris-kroll | Specialist | 909 First Colonial Rd, Virginia Beach, VA 23454-3111 | 2009-11-03 |
| 1194957647 | Erica Steele | Specialist | 1209 Independence Blvd Ste 101, Virginia Beach, VA 23455-5569 | 2009-08-18 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
Please comment or provide details below to improve the information on PAIN MANAGEMENT & ORTHOPEDIC CENTER PC.
| 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.