VIRGINIA COMMONWEALTH UNIVERSITY (NPI# 1477956878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477956878 |
| Entity Type | Organization |
| Organization Name | VIRGINIA COMMONWEALTH UNIVERSITY |
| Other Organization Name | VA COMMONWEALTH UNIVERSITY SPORTS MEDICINE |
| Practice Address |
821 W Franklin St Richmond VA 23284-9012 |
| Practice Telephone | 8048280100 |
| Mailing Telephone | 8048280100 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | MATTHEW LAWLESS (MD) |
| Authorized Official Telephone | 8048280100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VA Commonwealth University Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093084063 | Virginia Commonwealth University | Local Education Agency (LEA) | 800 E. Leigh Street, Richmond, VA 23284-3039 | 2011-12-21 |
| 1184607442 | Virginia Commonwealth University | Clinical Medical Laboratory | 1112 E Clay St, 4th Floor, Room 114, Richmond, VA 23298-5057 | 2005-11-21 |
| 1851708390 | Virginia Commonwealth University | Clinic/Center | 521 N 11th St, Richmond, VA 23298-5045 | 2014-07-16 |
| 1639344641 | Virginia Commonwealth University | Clinic/Center | 520 N 12th Street, Lyons Bldg Room 414, Richmond, VA 23298-0566 | 2008-04-30 |
| 1932327277 | Virginia Commonwealth University | Clinic/Center | 520 N 12th St, Lyons Building, Room 456, Richmond, VA 23298-0566 | 2007-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | VIRGINIA COMMONWEALTH UNIVERSITY FOUNDATION | 111 N 4th St, Richmond, Virginia 23219-2201 |
| System for Award Management (SAM) Entities | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | 701 E Franklin St Ste 1112, Richmond, VA 23219-2501 |
| Virginia Business Entities | Virginia Commonwealth University Real Estate Foundation | 700 W. Grace Street, P O Box 843075, Richmond, Virginia 23284-3075 |
| Street Address |
821 W FRANKLIN ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23284-9012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437537099 | Christine Tang | Specialist/Technologist | 821 W Franklin St, Richmond, VA 23284-9012 | 2015-05-14 |
| 1912394800 | Samuel Grodman | Emergency Medicine | 821 W Franklin St, Richmond, VA 23284 | 2015-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495635 | Vanessa M Ellison | Social Worker | 907 Floyd Ave Ste 238, Richmond, VA 23284 | 2018-01-12 |
| 1366786790 | Elizabeth Winthrop | Nurse Practitioner | 1200 W Broad St, Richmond, VA 23284 | 2012-11-26 |
| 1134333099 | Christine Petze Charbonneau | Registered Nurse | 1300 W Broad Street, Virginia Commonwealth University Student Health Service, Richmond, VA 23284 | 2007-05-10 |
| 1174745616 | Virginia Commonweatlh University Student Health Pharmacy | Pharmacy | 1300 W. Broad Street, Suite 2200, Richmond, VA 23284 | 2007-05-03 |
| 1225242183 | Jeannette Stien Bishai | Registered Nurse | 1300 West Broad Street, Richmond, VA 23284 | 2007-05-10 |
| 1194100644 | James Thomas Benzel | Specialist/Technologist | 1300 West Broad St., Suite 130, Richmond, VA 23284-2003 | 2015-07-27 |
| 1093940447 | Micah L Mccreary | Psychologist | 800 W. Franklin Street, Room 107, Richmond, VA 23284-2018 | 2009-05-28 |
| 1649391376 | Scott E Ross | Specialist/Technologist | 1015 W. Main St, Richmond, VA 23284-2020 | 2007-04-02 |
| 1497873814 | Alan David Freedman | Specialist/Technologist | Virginia Commonwealth University School of Education, 1015 West Main St., Box 842020, Richmond, VA 23284-2020 | 2007-03-26 |
| 1932174695 | Brent Lee Arnold | Specialist/Technologist | 1015 West Main Street, Richmond, VA 23284-2020 | 2006-02-17 |
| Find all providers in zip 23284 | ||||
| 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 |
|---|---|---|---|---|
| 1558611764 | Oakbend Medical Group | Orthopaedic Surgery | 7830 W. Grand Pkwy, Suite 280, Richmond, TX 77406-5818 | 2012-09-14 |
| 1992832679 | Advanced Orthopaedics and Sports Medicine of Ky Pllc | Orthopaedic Surgery | 789 Eastern Byp Ste 5, Richmond, KY 40475-2407 | 2007-02-28 |
| 1477030740 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 7790 W Grand Pkwy S Ste 100, Richmond, TX 77406-5830 | 2018-07-19 |
| 1295113801 | Virginia Union University | Orthopaedic Surgery | 1500 N Lombardy St, Richmond, VA 23220-1711 | 2015-05-14 |
| 1427141316 | Thomas P Loughran | Orthopaedic Surgery | 1250 E Marshall St, Orthopaedic Surgery, Richmond, VA 23298-5051 | 2006-10-02 |
| 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 |
| 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 |
| 1821065848 | Mark D. Miller | Orthopaedic Surgery | 400 Ray C Hunt Dr, Suite 330, Charlottesville, VA 22903-2980 | 2006-03-08 |
| Find all providers with the same taxonomy | ||||
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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.