Old Dominion Osteopathic Medicine

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

0102202984 Issued in VA

Legal business name

OLD DOMINION OSTEOPATHIC MEDICINE

Practice address

2525 Cowan Blvd
Fredericksburg, VA 22401-8440

Phone

(540) 423-6858

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jason Sneed, D.O.

Title

Member/Manager

Phone

(703) 505-2620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1659623205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COWAN BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018440",
            "telephone_number": "540-423-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COWAN BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018440",
            "telephone_number": "540-423-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION OSTEOPATHIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "703-505-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "VA",
            "license": "0102202984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ogunsola, RD
• Samantha Elizabeth Ohara
• Marisa Anita Ohngemach, LPC, NCC
• Mitchell Okula, PHARMD. MPH.
• Omowunmi Olabode, RBT
• Harry Garrett Oldland, MD
• Olivia Oliver, LCSW
• Myra Calongcagong Oliveros, PT
• Olivia Ehrbar Counseling, Professional Limited Liability Company
• Heather Leigh Oljey, M.A., CCC-SLP

• Neuromusculoskeletal Medicine & OMM Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.