Pain Management & Orthopedic Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101034150 Issued in VA

Legal business name

PAIN MANAGEMENT & ORTHOPEDIC CENTER PC

Practice address

733 Volvo Pkwy Ste 200
Chesapeake, VA 23320-1609

Phone

(757) 962-2121

Fax

(757) 962-1911

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Tracey O Pennington, M.D.NPI 1497791669

Title

President

Phone

(757) 962-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71895

Practitioners 1

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

• Tracey O Pennington, M.D.,M.P.H.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Virginia Beach, VA
  • NPI 1497791669
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1336444397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 VOLVO PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201609",
            "telephone_number": "757-962-2121",
            "fax_number": "757-962-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 VOLVO PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201609",
            "telephone_number": "757-962-2121",
            "fax_number": "757-962-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & ORTHOPEDIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-962-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101034150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336444397",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nandita Krishna Padiyar, M.D.
• Mark Ong Padlan, PTA
• Lauren Padmore, RN
• Hope Christopher Page
• Dorescia Rachelle Paige-Perry, LPC
• Keisha Painter
• Thomas John Painter, M.D.
• Thamiris V. Palacios-Kibler, D.O.
• James Keith Palma, M.D.
• Maia L Palma, PA-C

• Specialist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.