Individual provider Active NPI

James Anthony Treadwell, D.O.

  • General Practice Physician
  • South Boston, VA
National Provider Identifier
1023089299
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0102201627 Issued in VA
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

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160728000438 NH Practitioner - Orthopedic Surgery 9830345479 Reassigns benefits to 1 organization
I20200213000568 CO Practitioner - Orthopedic Surgery 9830345479 Reassigns benefits to 2 organizations
I20240711004450 OK Practitioner - Orthopedic Surgery 9830345479 Reassigns benefits to 1 organization
I20241113003328 WA Practitioner - Orthopedic Surgery 9830345479 Reassigns benefits to 1 organization
I20250106000383 MT Practitioner - Hand Surgery 9830345479 Reassigns benefits to 1 organization

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
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

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 Hospital, Pueblo, CO, CCN 060020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)20
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147558MTMDOrthopaedic Hand Surgery Physician
0102201627VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Orthopaedic Surgery CurrentSince Jan 29, 2020 Accepting new patients
Mercy Hospital Ardmore, Inc CurrentSince Jul 8, 2024 Accepting new patients
Speare Memorial Hospital General Practice CurrentSince Dec 23, 2019 Accepting new patients
Poudre Valley Medical Group, LLC Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Grays Harbor Community Hospital CurrentSince Sep 18, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 29, 2020 Accepting new patients
Poudre Valley Medical Group, LLC General Practice CurrentSince Jun 1, 2025 Accepting new patients
Benefis Hospitals Inc CurrentSince Jan 2, 2025 Accepting new patients
Mercy Hospital Ardmore, Inc. CurrentSince Jul 8, 2024 Accepting new patients
GHCH Physician Services, LLC Orthopaedic Surgery CurrentSince Sep 18, 2024 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

  • Direct secure messaging: jtreadwell54403@benefishs.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.