Active NPI
James Anthony Treadwell, D.O.
- General Practice Physician
- South Boston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0102201627
- Practice address
- 422 Hamilton Blvd
South Boston, VA 24592-5200 - Phone
- (434) 572-4074
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 147558 | MT | |
| General Practice Physician | 208D00000X | 0102201627 | VA | Primary |
Addresses
Primary practice location
422 Hamilton Blvd
South Boston, VA 24592-5200
Mailing address
109 Bridge St Ste 300
Danville, VA 24541-1222
Phone (434) 793-4711
Other practice location 1
1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 455-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, CO, OK, WA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Nova Southeastern College of Osteo Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3676 Parker Blvd
Pueblo, CO 81008-2213
3676 Parker Blvd
Suite 390
Pueblo, CO 81008-2215
Phone (719) 595-7780
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
Hospital & facility affiliations
- Parkview Medical Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 20 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147558 | MT | MD | Orthopaedic Hand Surgery Physician |
| 0102201627 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals, Inc. | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Mercy Hospital Ardmore, Inc | Current | Accepting new patients | |
| Speare Memorial Hospital | General Practice | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | General Practice | Current | Accepting new patients |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Mercy Hospital Ardmore, Inc. | Current | Accepting new patients | |
| GHCH Physician Services, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Benefis Hospitals, Inc. | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
3676 Parker Blvd
Ste 390
Pueblo, CO 81008
Phone (719) 595-7780
3676 Parker Blvd
Ste 350
Pueblo, CO 81008
Phone (719) 296-6000
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229
103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
1211 Skyview Dr
Aberdeen, WA 98520
Phone (360) 532-3808
1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032
319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980
Interoperability endpoints
- jtreadwell54403@benefishs.direct-ci.com
- jamestreadwell@spectrummed.allscriptsdirect.net
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
-
- Cardiovascular Disease Physician
- Ardmore, OK
- NPI 1578906657
-
- General Practice Physician
- Plymouth, NH
- NPI 1346402047
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- Obstetrics & Gynecology Physician
- Hoquiam, WA
- NPI 1134597693
-
- Durable Medical Equipment & Medical Supplies
- Grand Junction, CO
- NPI 1609737618
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Physical Therapist
- Great Falls, MT
- NPI 1750530515
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1184263527
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1376183145
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1417596834
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1427689652
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1134751712
-
- General Acute Care Hospital
- Pueblo West, CO
- NPI 1821720681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1023089299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 300",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-793-4711",
"fax_number": "434-797-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 HAMILTON BLVD",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245925200",
"telephone_number": "434-572-4074"
}
],
"practiceLocations": [
{
"address_1": "1401 25th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055183",
"country_code": "US",
"telephone_number": "406-455-5000",
"fax_number": "406-731-8318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREADWELL",
"first_name": "JAMES",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MT",
"license": "147558",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102201627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.