NPIMap

Organization Active NPI

Blacksburg Orthopaedics, PC

  • Orthopaedic Surgery Physician
  • Blacksburg, VA
National Provider Identifier
1659474807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101055538 Issued in VA
Legal business name
BLACKSBURG ORTHOPAEDICS, PC
Practice address
3708 S Main St
Suite G
Blacksburg, VA 24060-7007
Phone
(540) 951-6000
Fax
(540) 951-9400
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeremy Paul Hatch, M.D.NPI 1801838248
Title
President
Phone
(540) 951-6000

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 Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 0101055538 VA Primary

Addresses

Primary practice location

3708 S Main St
Suite G
Blacksburg, VA 24060-7007

Mailing address

3708 S Main St
Suite G
Blacksburg, VA 24060-7007
Phone (540) 951-6000

Other identifiers 6

IdentifierTypeStateIssuer
147715OtherVASOUTHERN HEALTH
141234OtherVAANTHEM HEALTH PLANS
349912OtherVAALLIANCE
1178036OtherVAFIRST HEALTH
5834500OtherVAAETNA HEALTH PLANS
349912OtherVAMAMSI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659474807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 S MAIN ST",
            "address_2": "SUITE G",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607007",
            "telephone_number": "540-951-6000",
            "fax_number": "540-951-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 S MAIN ST",
            "address_2": "SUITE G",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607007",
            "telephone_number": "540-951-6000",
            "fax_number": "540-951-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSBURG ORTHOPAEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-951-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101055538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "147715",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH PLANS",
            "identifier": "141234",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "349912",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1178036",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "5834500",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "349912",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • 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.