Osteopathic Physicians of Charlottesville

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

OSTEOPATHIC PHYSICIANS OF CHARLOTTESVILLE

Practice address

630 Peter Jefferson Pkwy
Suite 170
Charlottesville, VA 22911-8605

Phone

(434) 975-2555

Fax

(434) 974-6900

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark H Dean, D.O.NPI 1265441083

Title

Owner

Phone

(434) 975-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Osteopathic Pain Management Other name

Locations

Practitioners 5

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

• Mark H Dean, D.O.

  • Interventional Pain Medicine Physician
  • Charlottesville, VA
  • NPI 1265441083
  NPD (past) Authorized official
• William Sukovich, MD

  • Orthopaedic Surgery of the Spine Physician
  • Charlottesville, VA
  • NPI 1124009667
  NPD
• David Charles Macdonald, DO

  • Addiction Medicine (Family Medicine) Physician
  • Charlottesville, VA
  • NPI 1558321976
  NPD (past)
• Prashanth A Mally, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fairfax, VA
  • NPI 1669649729
  NPD (past)
• Jane Chen, D.O.

  • Family Medicine Physician
  • Albany, NY
  • NPI 1881696151
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497765226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY",
            "address_2": "SUITE 170",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118605",
            "telephone_number": "434-975-2555",
            "fax_number": "434-974-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY",
            "address_2": "SUITE 170",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118605",
            "telephone_number": "434-975-2555",
            "fax_number": "434-974-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC PHYSICIANS OF CHARLOTTESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-975-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "177604",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteopathic Pain Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Annie Oslund, PA
• Anna Elizabeth Osment
• Reyna Guadalupe Osorio
• Bahrom Justin Ostad, MD
• Katie Hammond Osteen, DPT
• Osteopathic Surgical Centers, LLC
• Katherine Osterlund
• Ellen T Oswalt, PT
• Patience A. Oteng, N.P.
• Joseph Otonichar, D.O.

• Interventional Pain Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Interventional Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.