OSTEOPATHIC PHYSICIANS OF CHARLOTTESVILLE (NPI# 1497765226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497765226 |
| Entity Type | Organization |
| Organization Name | OSTEOPATHIC PHYSICIANS OF CHARLOTTESVILLE |
| Other Organization Name | OSTEOPATHIC PAIN MANAGEMENT |
| Practice Address |
630 Peter Jefferson Pkwy Suite 170 Charlottesville VA 22911-8605 |
| Practice Telephone | 4349752555 |
| Practice Fax Number | 4349746900 |
| Mailing Telephone | 4349752555 |
| Mailing Fax Number | 4349746900 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK H DEAN (OWNER) |
| Authorized Official Telephone | 4349752555 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 177604 | 01 |
| Other Name | Type Code |
|---|---|
| Osteopathic Pain Management | Other Name - Individual/Organization |
| Street Address |
630 PETER JEFFERSON PKWY SUITE 170 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376530816 | Frazier T Fortenberry Jr. | Urology | 630 Peter Jefferson Pkwy, Suite 135, Charlottesville, VA 22911-8605 | 2005-09-30 |
| 1659782902 | Abc Therapy,llc | Physical Medicine & Rehabilitation | 630 Peter Jefferson Pkwy, Charlottesville, VA 22911-8605 | 2014-05-08 |
| 1487961967 | Adam James Sweeney | Optometrist | 630 Peter Jefferson Pkwy, Suite 180, Charlottesville, VA 22911-8605 | 2010-09-07 |
| 1356554034 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 630 Peter Jefferson Pkwy, Ste. 180, Charlottesville, VA 22911-8605 | 2007-05-08 |
| 1215960224 | Frazier T Fortenberry Jr Md Plc | Urology | 630 Peter Jefferson Pkwy, Suite 135, Charlottesville, VA 22911-8605 | 2006-07-10 |
| 1295787539 | Oculoplastics and Orbital Consultants Plc | Ophthalmology | 630 Peter Jefferson Pkwy, Suite 140, Charlottesville, VA 22911-8605 | 2006-05-16 |
| 1841263670 | Sara Alice Kaltreider | Ophthalmology | 630 Peter Jefferson Pkwy, Suite 140, Charlottesville, VA 22911-8605 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265441083 | Mark H Dean | Pain Medicine | 630 Peter Jefferson Pkwy Ste 170, Charlottesville, VA 22911-4624 | 2006-08-08 |
| 1922000132 | Akhtar Purvez | Pain Medicine | 2335 Seminole Ln Ste 500, Charlottesville, VA 22901-8304 | 2005-06-01 |
| 1386015972 | Physical Medicine Associates, Ltd | Pain Medicine | 1460 Pantops Mountain Pl, Suite 2b, Charlottesville, VA 22911-4600 | 2015-10-08 |
| 1609284603 | Pain & Spine Center of Charlottesville | Pain Medicine | 2335 Seminole Ln Ste 500, Charlottesville, VA 22901-8304 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561493 | Margaret Ann Rickman | Pain Medicine | 80 College St Ste E, Christiansburg, VA 24073-2985 | 2020-02-27 |
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1821561382 | Barton Joseph Adams | Pain Medicine | 1899 Oracle Way Apt 428, Reston, VA 20190-6735 | 2019-01-08 |
| 1114496734 | Coastal Virginia Spine and Pain Center LLC | Pain Medicine | 329 Edwin Dr Ste 100, Virginia Beach, VA 23462-4522 | 2018-11-14 |
| 1538427844 | Killpain LLC | Pain Medicine | 45929 Maries Road, Suite 100, Sterling, VA 20166 | 2012-04-25 |
| 1851617120 | Teresa Marie Kerge | Pain Medicine | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2010-04-12 |
| 1114253366 | Spinal Atrs Institute, Pllc | Pain Medicine | 11412 Georgetown Pike, Great Falls, VA 22066-1316 | 2009-10-22 |
| 1538314208 | Qi Lin | Pain Medicine | 1356 Sir Richard Rd, Virginia Beach, VA 23455-4917 | 2008-11-22 |
| 1871767459 | Mark W Newman | Pain Medicine | 223 Bulifants Blvd Ste C, Williamsburg, VA 23188-5734 | 2008-04-15 |
| 1306940028 | Blue Ridge Pain Treatment Centers | Pain Medicine | 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 2006-09-12 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on OSTEOPATHIC PHYSICIANS OF CHARLOTTESVILLE.
| 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.