Organization Active NPI

Orthopedic Hand Center P.L.C

  • Orthopaedic Hand Surgery Physician
  • Sterling, VA
National Provider Identifier
1194906743
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
0101058145 Issued in VA
Legal business name
ORTHOPEDIC HAND CENTER P.L.C
Practice address
107 E Holly Ave
Ste 3
Sterling, VA 20164-5405
Phone
(703) 435-5510
Fax
(703) 435-3147
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Dr. Paul Thomas Mecherikunnel, M.DNPI 1720030612
Title
President
Phone
(703) 435-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X 0101058145 VA Primary

Addresses

Primary practice location

107 E Holly Ave
Ste 3
Sterling, VA 20164-5405

Mailing address

PO Box 650580
Sterling, VA 20165-0580
Phone (703) 435-5510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000903 VA Part B Supplier - Clinic/Group Practice 0042292716 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1194906743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650580",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201650580",
            "telephone_number": "703-435-5510",
            "fax_number": "703-435-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E HOLLY AVE",
            "address_2": "STE 3",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645405",
            "telephone_number": "703-435-5510",
            "fax_number": "703-435-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC HAND CENTER P.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "MECHERIKUNNEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-435-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VA",
            "license": "0101058145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.