Colonial Orthopaedics Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101036726 Issued in VA

Legal business name

COLONIAL ORTHOPAEDICS INC

Practice address

325 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2986

Phone

(804) 526-5888

Fax

(804) 526-5401

NPI assigned

Jan 25, 2016

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Bailey

Title

Credentialing Specialist

Phone

(804) 571-5106

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1053778845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHARLES H DIMMOCK PKWY",
            "address_2": "SUITE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342986",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342986",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238471240",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLONIAL ORTHOPAEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "804-571-5106"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101036726",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101257013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053778845",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colonial Heights Pharmacy Inc
• Colonial Heights Physicians, LLC
• Colonial Heights Vision Center Optometry, PC
• Colonial Kidney Specialists PLLC
• Colonial Kidneycare Specialists, PC
• Colonial Orthopaedics Inc
• Colonial Orthopaedics Inc
• Colonial Orthopaedics Inc
• Colonial Orthopaedics Inc (Colonial Orthopaedics)
• Colonial Orthopaedics, Inc

• Orthopaedic Surgery Physician in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.