OLD DOMINION OSTEOPATHIC MEDICINE


Address: 2525 Cowan Blvd, Fredericksburg, VA 22401-8440
Phone: 5404236858

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204D00000X Neuromusculoskeletal Medicine & OMM 0102202984 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 2525 COWAN BLVD
City FREDERICKSBURG
State VA
Zip Code 22401-8440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710133228 Jason A. Sneed Neuromusculoskeletal Medicine & OMM 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 2008-08-15

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710133228 Jason A. Sneed Neuromusculoskeletal Medicine & OMM 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 2008-08-15

Providers in the same taxonomy and state

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
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Competitor

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City FREDERICKSBURG
Zip Code 22401

Improve Information

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Dataset Information

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.

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