Lonesome Pine Orthopaedics, PLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LONESOME PINE ORTHOPAEDICS, PLC

Practice address

767 Wood Ave E
Big Stone Gap, VA 24219-3023

Phone

(276) 523-1006

Fax

(276) 523-5293

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Russ, M.D.

Title

Owner/ Provider

Phone

(276) 679-1006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie W Baker, PT

  • Physical Therapist
  • Pennington Gap, VA
  • NPI 1326297177
  NPD (past)
• Tanner Brent Kennedy, PT, DPT

  • Physical Therapist
  • Big Stone Gap, VA
  • NPI 1700738184
  NPD (past)
• Kaitie Fae McAmis, PT, DPT

  • Physical Therapist
  • Big Stone Gap, VA
  • NPI 1588579882
  NPD (past)
• Camilia L Reynolds, DPT

  • Physical Therapist
  • Pennington Gap, VA
  • NPI 1043180524
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1194771212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 857",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190857",
            "telephone_number": "276-523-1006",
            "fax_number": "276-523-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 WOOD AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193023",
            "telephone_number": "276-523-1006",
            "fax_number": "276-523-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESOME PINE ORTHOPAEDICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "276-679-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65943912",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Graham Ledford, BSW
• Harold Mark Lester, LPC
• Tina Marie Lewis
• Susann Renee Light-Gibson, MED, CSAC
• Michael S Lilly, LPC
• Veronica Dawn Lowery
• Joyce Ann Mack
• Jennifer Lynn Main
• Edakandyil Manoharan, MD
• Ashley Broadway Masterson, DO

• Orthopaedic Surgery Physician in Big Stone Gap, VA
• Providers in Big Stone Gap, 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 Mar 30, 2009; 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.