Active NPI
Judith R Oppenheim, MD
- Orthopaedic Surgery Physician
- Hampton, VA
National Provider Identifier
1225073471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 37456
- Practice address
- 100 Emancipation Dr
Hampton, VA 23667-0001 - Phone
- (757) 722-9961
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 37456 | CO | Primary |
Addresses
Primary practice location
100 Emancipation Dr
Hampton, VA 23667-0001
Mailing address
PO Box 65310
Colorado Springs, CO 80962-3510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37456 | CO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front Range Orthopaedics PC | Orthopaedic Surgery | Past | Accepting new patients |
| Poplar Bluff Regional Medical Center LLC | Past | Accepting new patients | |
| Macomb Medical Associates, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/4082/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Colorado Springs, CO
- NPI 1841212719
-
- Orthopaedic Surgery Physician
- Macomb, IL
- NPI 1568523314
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1225073471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65310",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809623510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMANCIPATION DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236670001",
"telephone_number": "757-722-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPENHEIM",
"first_name": "JUDITH",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "37456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.