NPIMap

Organization Active NPI

Vann-Virginia Center for Orthopaedics PC

Doing business as Atlantic Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1669534301
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101041556 Issued in VA
Legal business name
VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
Doing business as
Atlantic Orthopaedic Specialists
Practice address
1975 Glenn Mitchell Dr
Suite 200
Virginia Beach, VA 23456
Phone
(757) 321-3300
Fax
(757) 368-3902
NPI assigned
Dec 15, 2006
Last updated
May 31, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Mrs. Debra Hogge
Title
Business Office Manger
Phone
(757) 321-3398

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101041556 VA Primary
Physical Therapist 225100000X 2305002825 VA
Hand Occupational Therapist 225XH1200X 0119003467 VA

Addresses

Primary practice location

1975 Glenn Mitchell Dr
Suite 200
Virginia Beach, VA 23456

Mailing address

230 Clearfield Ave
Suite 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3383

Other identifiers 2

IdentifierTypeStateIssuer
1230520009OtherVADMERC
CE8289OtherVAMEDICARE RAILROAD

Other names 1

  • ATLANTIC ORTHOPAEDIC SPECIALISTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040422001094 VA Part B Supplier - Clinic/Group Practice 9133115397 Receives reassigned benefits from 78 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Virginia Beach, VA; Norfolk, VA; Chesapeake, VA
O20100930065812 VA DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 9133115397 Practice locations: Virginia Beach, VA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Samuel C Kline MD12 organizations share this tax ID, including this one
Part of
Samuel C Kline MD

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1669534301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVE",
            "address_2": "SUITE 124",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621832",
            "telephone_number": "757-321-3383",
            "fax_number": "757-321-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GLENN MITCHELL DR",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23456",
            "telephone_number": "757-321-3300",
            "fax_number": "757-368-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "HOGGE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANGER",
        "authorized_official_telephone_number": "757-321-3398",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101041556",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002825",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119003467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1230520009",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CE8289",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC ORTHOPAEDIC SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATLANTIC ORTHOPAEDIC SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.