Individual provider Active NPI

Chauncey B Santos, MD

  • Orthopaedic Surgery Physician
  • Richlands, VA
National Provider Identifier
1144402793
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30089 Issued in NC
Practice address
6719 Gov G C Peery Hwy
Suite 1000
Richlands, VA 24641-0880
Phone
(276) 596-6715
Fax
(276) 596-6717
NPI assigned
Dec 5, 2007
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 30089 NC Primary

Addresses

Primary practice location

6719 Gov G C Peery Hwy
Suite 1000
Richlands, VA 24641-0880

Mailing address

PO Box 490
Richlands, VA 24641-0490
Phone (706) 951-8241

Other identifiers 1

IdentifierTypeStateIssuer
89135PYMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090110000161 VA Practitioner - Orthopedic Surgery 5991606642 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30089NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Professional Physician Services LLC Orthopaedic Surgery CurrentSince Jul 1, 2016 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Jul 1, 2016 Accepting new patients
Orthopedics of Southwest Virginia, LLC Orthopaedic Surgery Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

6719 Governor Gc Peery Hwy
Ste 1000
Richlands, VA 24641
Phone (276) 596-6715

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • Direct secure messaging: chauncey.santos.1@19847.direct.athenahealth.com
  • Direct secure messaging: chauncey.santos@vab.hcadirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1144402793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246410490",
            "telephone_number": "706-951-8241",
            "fax_number": "276-596-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOV G C PEERY HWY",
            "address_2": "SUITE 1000",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246410880",
            "telephone_number": "276-596-6715",
            "fax_number": "276-596-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "CHAUNCEY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "30089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135PY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.