Organization Active NPI

Charlottesville Hand Surgery

  • Orthopaedic Hand Surgery Physician
  • Charlottesville, VA
National Provider Identifier
1629008461
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
101226895 Issued in VA
Legal business name
CHARLOTTESVILLE HAND SURGERY
Practice address
320 Winding River LN
Suite 303
Charlottesville, VA 22911-3569
Phone
(434) 984-4263
Fax
(434) 984-6600
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Michael J. Devine, M.D.NPI 1306894910
Title
Physician
Phone
(434) 984-4263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X 101226895 VA Primary

Addresses

Primary practice location

320 Winding River LN
Suite 303
Charlottesville, VA 22911-3569

Mailing address

320 Winding River LN
Suite 303
Charlottesville, VA 22911-3569
Phone (434) 984-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051014000823 VA Part B Supplier - Clinic/Group Practice 9133145568 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1015709Charlottesville Hand Surgery320 Winding River Lane - Sutie 303, Charlottesville, VA 22911Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory

Locations

2331 Seminole Ln
Ste 2
Charlottesville, VA 22901

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1629008461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WINDING RIVER LN",
            "address_2": "SUITE 303",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113569",
            "telephone_number": "434-984-4263",
            "fax_number": "434-984-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WINDING RIVER LN",
            "address_2": "SUITE 303",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113569",
            "telephone_number": "434-984-4263",
            "fax_number": "434-984-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE HAND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "434-984-4263",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VA",
            "license": "101226895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.