Charlottesville Orthopaedic Center, PLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CHARLOTTESVILLE ORTHOPAEDIC CENTER, PLC

Practice address

183 Spotnap Rd
Suite C
Charlottesville, VA 22911-8812

Phone

(434) 244-8412

Fax

(434) 244-8415

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David A Nielsen, DONPI 1922080498

Title

Owner

Phone

(434) 244-8412

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17611/brand/1/csg/1/fhir/r4

Practitioners 5

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

• David Alan Nielsen, D.O.

  • Orthopaedic Surgery Physician
  • Charlottesville, VA
  • NPI 1922080498
  Medicare reassignment Care Compare group NPD Authorized official
• Cory Merva

  • Physical Therapist
  • Ruckersville, VA
  • NPI 1013310440
  Medicare reassignment Care Compare group NPD
• Matthew F Connor, DPT

  • Physical Therapist
  • Hamilton, NJ
  • NPI 1306179163

  VA

  Medicare reassignment Care Compare group NPD
• Natalie Smith, PA

  • Physician Assistant
  • Henrico, VA
  • NPI 1134585961
  Medicare reassignment Care Compare group
• Michael John Kovac Jr., M.D.

  • Orthopaedic Surgery Physician
  • Charlottesville, VA
  • NPI 1033191952
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1235239401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SPOTNAP RD",
            "address_2": "SUITE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118812",
            "telephone_number": "434-244-8412",
            "fax_number": "434-244-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 SPOTNAP RD",
            "address_2": "SUITE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118812",
            "telephone_number": "434-244-8412",
            "fax_number": "434-244-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE ORTHOPAEDIC CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-244-8412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "DB1685",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Charlottesville, VA
• Providers in Charlottesville, 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 Feb 22, 2017; 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.