PRAVEER SRIVASTAVA (NPI# 1619976826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619976826 |
| Entity Type | Individual |
| Full Name | PRAVEER SRIVASTAVA |
| Credential | MD |
| Practice Address |
325 Charles H Dimmock Pkwy Ste 100 Colonial Heights VA 23834-2986 |
| Mailing Address |
13000 Rivers Bend Blvd Ste D Chester VA 23836-8632 |
| Practice Telephone | 8045265888 |
| Practice Fax Number | 8045265401 |
| Mailing Telephone | 8045715106 |
| Mailing Fax Number | 8045301857 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101231604 | VA | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
0101231604 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006408613 | 05 | |
| VA | RAILROAD MEDICARE | 200043080 | 01 |
| Street Address |
325 CHARLES H DIMMOCK PKWY STE 100 |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860594 | Timothy J Marqueen | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2005-06-08 |
| 1548821630 | Virginia Commonwealth University Health System Authority | General Acute Care Hospital | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2019-06-28 |
| 1053778845 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2016-01-25 |
| 1992161921 | Claire Emma Jackson | Physical Therapist | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2016-01-06 |
| 1275940926 | Colonial Orthopaedics, Inc | Durable Medical Equipment & Medical Supplies | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2014-07-15 |
| 1104062637 | Michelle Candice Crouse | Physical Therapist | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2009-01-06 |
| 1174782627 | Vamsi M Singaraju | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2008-06-09 |
| 1093929325 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2007-05-09 |
| 1922171958 | Vivek Sharma | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2006-11-16 |
| 1790712834 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558774794 | Bernard Kemker IIi | Orthopaedic Surgery | 1250 E Marshall St # 980264, Richmond, VA 23298-5051 | 2014-06-05 |
| 1043620628 | Vignesh Alamanda | Orthopaedic Surgery | 1850 Town Center Pkwy Ste 400, Reston, VA 20190-3300 | 2014-05-05 |
| 1447417514 | James A. Browne | Orthopaedic Surgery | 545 Ray C Hunt Dr Ofc Bldg2, Charlottesville, VA 22903-2981 | 2008-05-17 |
| 1386789725 | Richard Whitehill | Orthopaedic Surgery | Uva Orthpaedic Center At Fontaine, 545 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2007-02-21 |
| 1013019868 | Robert B Stinger | Orthopaedic Surgery | 3301 Woodburn Rd #208, Annandale, VA 22003-1200 | 2006-09-02 |
| 1801802509 | Samuel M Hawken | Orthopaedic Surgery | 3301 Woodburn Rd Ste 208, Annandale, VA 22003-1200 | 2006-08-01 |
| 1497778559 | Debra Janine Thomas | Orthopaedic Surgery | 1100 Cedar Valley Dr, Suite 3a, Cedar Bluff, VA 24609-9184 | 2006-07-26 |
| 1912972035 | Geoffrey A Wright | Orthopaedic Surgery | 3920a Bridge Rd Ste 301, Suffolk, VA 23435-1125 | 2006-02-22 |
| 1467754093 | Debra J. Thomas, M.d., PC | Orthopaedic Surgery | 6719 Governor Gc Peery Hwy, Suite 1400, Richlands, VA 24641-2197 | 2010-12-02 |
| 1205143823 | Loudoun Medical Group PC | Orthopaedic Surgery | 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 | 2010-09-02 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
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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.