OLD DOMINION OSTEOPATHIC MEDICINE (NPI# 1659623205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659623205 |
Entity Type | Organization |
Organization Name | OLD DOMINION OSTEOPATHIC MEDICINE |
Practice Address |
2525 Cowan Blvd Fredericksburg VA 22401-8440 |
Practice Telephone | 5404236858 |
Mailing Telephone | 5404236858 |
Enumeration Date | 2012-10-05 |
Last Update Date | 2013-03-05 |
Authorized Official Name | DR. JASON SNEED (MEMBER/MANAGER) |
Authorized Official Telephone | 7035052620 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 0102202984 | VA | Allopathic & Osteopathic Physicians |
Street Address |
2525 COWAN BLVD |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22401-8440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710133228 | Jason A. Sneed | Neuromusculoskeletal Medicine & OMM | 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2008-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
Find all providers in zip 22401 |
Taxonomy Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710133228 | Jason A. Sneed | Neuromusculoskeletal Medicine & OMM | 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2008-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
1013303486 | Mukarram Razvi | Neuromusculoskeletal Medicine & OMM | 1999 S Main St Ste 505j, Blacksburg, VA 24060-6601 | 2015-04-12 |
1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
1376750646 | Nancy Laura Liles | Neuromusculoskeletal Medicine & OMM | 7455 Mcconnell Rd, Roanoke, VA 24019-3241 | 2007-05-17 |
1033232269 | Alina H Tobey | Neuromusculoskeletal Medicine & OMM | 1691 Innovation Dr Ste 2100, Blacksburg, VA 24060-6828 | 2007-04-10 |
1588782213 | Michael J Porvaznik | Neuromusculoskeletal Medicine & OMM | 4910 31st St S, Suite A, Arlington, VA 22206-1656 | 2007-03-27 |
1396873774 | Janine Marie Talty | Neuromusculoskeletal Medicine & OMM | 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 | 2007-02-28 |
1427106624 | Kevin Andrew Hicks | Neuromusculoskeletal Medicine & OMM | 300a Temple Lake Dr, Suite 1, Colonial Heights, VA 23834-2972 | 2007-01-06 |
1043385370 | Harold Kornylak | Neuromusculoskeletal Medicine & OMM | 1432 E Bay Shore Dr, Virginia Beach, VA 23451-3760 | 2006-11-21 |
Find all providers with the same taxonomy |
City | FREDERICKSBURG |
Zip Code | 22401 |
Please comment or provide details below to improve the information on OLD DOMINION OSTEOPATHIC MEDICINE.
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.