Vann-Virginia Center for Orthopaedics PC
Organization Active NPI Orthopaedic Surgery Physician · Kill Devil Hills, NC
NPI 1669169983 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1669169983
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
- Practice address
- 3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200 - Phone
- (757) 321-3300
- Fax
- (757) 321-3330
- NPI assigned
- Apr 18, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
Authorized official
- Name
- Danielle Jacot Gesick
- Title
- Credentialing Specialist
- Phone
- (757) 321-3383
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 11
Practitioners 105
-
Jamie T Beasley, PT
-
Darrell M Becker, PT
-
Benjamin Patrick Blanks, MPAS, PA-C
-
Judith D Bodnar, M.D.
-
Danielle Rene Boomer, DPT
-
Abby Lynn Buchman, PA-C
-
Jennifer Anne Buda, FNP
-
Timothy Budorick, MD
-
William Abbott Byrd, M.D.
-
Kelly L Campbell, NP-C
-
Bradley Cox Carofino, M.D.
-
Bryan Case, PA-C
-
David Clifford, MD
-
Jared A Cooke, DO
-
Cynthia Cooper, OT
-
Andrew B Coulter, PT
-
Euclid Angeles Cruz, PA-C
-
Ryan Joseph Davis, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200409001711 | NC | Part B Supplier - Clinic/Group Practice | 9133115397 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kill Devil Hills, NC; Nags Head, NC |
National Provider Directory
- Tax ID family
- G Raymond Payne III MD
- Part of
- G Raymond Payne III MD
Locations
6160 Kempsville Cir
Ste 110A
Norfolk, VA 23502
844 Kempsville Rd
Ste 101
Norfolk, VA 23502
Phone (757) 461-1780
1800 Camelot Dr
Ste 200
Virginia Beach, VA 23454
Phone (757) 252-9600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200
Mailing address
230 Clearfield Ave Ste 124
VA Beach, VA 23462-1832
Phone (757) 321-3300
Other names
- Atlantic Orthopaedic Specialists
Other providers in Kill Devil Hills, NC
- Gregory Szymczyk
- Catherine Taylor
- Mary Kay Terrell Parnell
- Therapy by Adriana
- Claire Louise Van Valkenburg
- Colby Love Voight
- Michelle Wade
- Jordan Waitman
- Walgreen Co
- Walgreen Co
All providers in Kill Devil Hills, NC · Orthopaedic Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.