Centers for Advanced Orthopaedics, LLC
Organization Active NPI Orthopaedic Surgery Physician · Fairfax, VA
NPI 1154769040 · NPPES record last updated Mar 12, 2020
Key facts
- NPI
- 1154769040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
- Practice address
- 3930 Pender Dr
Suite 210
Fairfax, VA 22030 - Phone
- (703) 648-3100
- Fax
- (703) 648-3830
- NPI assigned
- Jun 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Richard Robinson
- Title
- Coo
- Phone
- (301) 637-8712
Other NPIs on the same Medicare enrollment 35
Practitioners 26
-
Nathan A Barr, DPT
-
Billy S. Burk, PHYSICIAN ASSISTANT
-
Karambir S Deo, DPT
-
Shelby Dublin, DPT
-
Mourad El Mawan, DPT
-
Brandi Renee Fossum, ACNPC-AG, RNFA, CNOR
-
Bradford Knight, MD
-
Adam Lorenzetti, M.D.
-
Paymaun M Lotfi, MD
-
Owolabi Adebayo Shonuga, M.D.
-
Michelle Smith, OT
-
Zachary David Weidner, M.D.
-
Benjamin Karl Ebert, PA-C
-
Rachel E Farley, PT
-
Victoria Marade Goode, CRNA
-
Jonathan Damon Lawless, D.O.
-
Nikhil Upendra Patel, DPT
-
Bonnie L Torres, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131024001780 | DC | Part B Supplier - Clinic/Group Practice | 8123260981 |
Receives reassigned benefits from 447 practitioners 33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20140108001093 | VA | Part B Supplier - Clinic/Group Practice | 8123260981 |
Receives reassigned benefits from 124 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Woodbridge, VA; Winchester, VA; Stafford, VA; Manassas, VA; Fairfax, VA; Front Royal, VA; Haymarket, VA; Gainesville, VA… |
National Provider Directory
Locations
3930 Pender Dr
Ste 210
Fairfax, VA 22030
Phone (703) 648-3100
14348 Gideon Dr
Woodbridge, VA 22192
Phone (703) 490-1112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
3930 Pender Dr
Suite 210
Fairfax, VA 22030
Mailing address
6707 Democracy Blvd Ste 504
Bethesda, MD 20817-1166
Phone (703) 648-3100
Other providers in Fairfax, VA
- Center for Cranial & Spinal Surgery, PC
- Center for Foot and Ankle Care,P.C.
- Center for Vein Restoration MD LLC
- Center for Vein Restoration MD LLC
- Centers for Advanced Orthopaedics LLC
- Centers for Advanced Orthopaedics, LLC
- Odyzza Jane Centro
- Jorge Cerda
- Erika Cerritos
- Certified Skilled Nursing Services
All providers in Fairfax, VA · Orthopaedic Surgery Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.