Organization Active NPI

Precision Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Warrenton, VA
National Provider Identifier
1093309601
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Practice address
493 Blackwell Rd Ste 316
Warrenton, VA 20186-2628
Phone
(540) 905-7775
NPI assigned
Feb 24, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Donna Lea Boatman
Title
Credentialing Manager
Phone
(013) 298-5334

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Interventional Pain Medicine Physician 208VP0014X
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

493 Blackwell Rd Ste 316
Warrenton, VA 20186-2628

Mailing address

493 Blackwell Rd Ste 316
Warrenton, VA 20186-2628
Phone (540) 905-7775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1093309601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD STE 316",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862628",
            "telephone_number": "540-905-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD STE 316",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862628",
            "telephone_number": "540-905-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "BOATMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "013-298-5334"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.