Orthovirginia, Inc

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

ORTHOVIRGINIA, INC

Practice address

2423 Main St Ste 3
Evanston, IL 60202-1547

Phone

(571) 470-7544

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Proffitt

Title

Credentialing and Enrollment

Phone

(804) 533-2357

Specialties & licenses 2

Addresses

Tax ID family

Orthovirginia63 organizations share this tax ID, including this one

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1043055239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 MAIN ST STE 3",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021547",
            "telephone_number": "571-470-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 MAIN ST STE 3",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021547",
            "telephone_number": "571-470-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOVIRGINIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING AND ENROLLMENT",
        "authorized_official_telephone_number": "804-533-2357"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky A. Oros, APN-CNP
• Gautham Anil Oroskar
• Mansour Mohammadi Oroujeh, DO
• Kimberly Orozco, MD
• Kelly Ortega, APN-PHMNP-BC
• Maria R Ortiz, DPM
• Meleokalani Bratina Ortiz
• Wendy R Ortiz, MSW, LSW
• Kurt W. Ortwig, APN-CNP
• Liliana Osadchuk, M.D.

• Mail Order Pharmacy in Evanston, IL
• Providers in Evanston, IL by specialty
• Mail Order Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.