NPIMap

Organization Active NPI

Spine & Injury Center of Fredericksburg PC

  • Preferred Provider Organization
  • Fredericksburg, VA
National Provider Identifier
1437344041
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0104555960 Issued in VA
Legal business name
SPINE & INJURY CENTER OF FREDERICKSBURG PC
Practice address
4500 Plank Rd
Suite 1022
Fredericksburg, VA 22407-0120
Phone
(540) 785-0200
Fax
(540) 785-0660
NPI assigned
Sep 7, 2007
Last updated
Oct 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dr. Andrew Lewis Reno, D.C.NPI 1790738623
Title
Clinic Director
Phone
(540) 785-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0104555960 VA Primary

Addresses

Primary practice location

4500 Plank Rd
Suite 1022
Fredericksburg, VA 22407-0120

Mailing address

4500 Plank Rd
Suite 1022
Fredericksburg, VA 22407-0120
Phone (540) 785-0200

Other identifiers 6

IdentifierTypeStateIssuer
2101714OtherVAMAMSI
S974-0001OtherVACAREFIRST
2101714OtherVAALLIANCE
2740701OtherVAAETNA
50576OtherVANVPPO
434855OtherVAANTHEM

National Provider Directory

National Provider Directory

Locations

3940 Plank Rd
Ste I
Fredericksburg, VA 22407
Phone (540) 785-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1437344041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD",
            "address_2": "SUITE 1022",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-785-0200",
            "fax_number": "540-785-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD",
            "address_2": "SUITE 1022",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-785-0200",
            "fax_number": "540-785-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & INJURY CENTER OF FREDERICKSBURG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "RENO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "540-785-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0104555960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2101714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "S974-0001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "2101714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2740701",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVPPO",
            "identifier": "50576",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "434855",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.