Dirk Stanton Proffer, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101049448 Issued in VA

Practice address

600 Gresham Dr Ste 204
Norfolk, VA 23507-1904

Phone

(757) 388-5680

Fax

(757) 388-5681

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dproffer10798@direct.sentara.net

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.

• RMH Medical Group LLC

  dba Sentara RMH Medical Group

  • General Practice Physician
  • Rockingham, VA
  • NPI 1669844908
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Orthopaedic Surgery

  Medicare reassignment NPD
• RMH Medical Group LLC

  • Customized Equipment (DME)
  • Harrisonburg, VA
  • NPI 1043238967
  NPD
• Primary Health Group Inc

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1578504452
  NPD (past)
• Vann-Virginia Center for Orthopaedics PC

  dba Atlantic Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Virginia Beach, VA
  • NPI 1184666877
  NPD (past)
• Vann-Virginia Center for Orthopaedics PC

  dba Atlantic Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Kill Devil Hills, NC
  • NPI 1669169983
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1558338053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-5680",
            "fax_number": "757-388-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-5680",
            "fax_number": "757-388-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2509 Pleasant Run Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228018720",
            "country_code": "US",
            "telephone_number": "540-689-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROFFER",
        "first_name": "DIRK",
        "middle_name": "STANTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101049448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006408770",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael I Privott
• Christopher Michael Probst, PA-C
• Brianna Prochnow, COTA
• Margaret Proctor, LAC
• Professional Home Care of Virginia Inc
• Progressive Autism Consulting and Therapy
• Leslie Prom, DPT
• Promising Peace Home Health Care
• Jennifer Proper, OT
• Prosperity Eating Disorder and Wellness (Prosperity/Norfolk)

• Orthopaedic Surgery Physician in Norfolk, VA
• Providers in Norfolk, 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 Nov 14, 2023; 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.

Verify at the official NPI Registry.