The Orthopaedic Center for Foot & Ankle Reconstruction

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101044491 Issued in VA

Legal business name

THE ORTHOPAEDIC CENTER FOR FOOT & ANKLE RECONSTRUCTION

Doing business as

The Orthopaedic Center for Foot and Ankle Reconstruction

Practice address

100 Kingsley LN Ste 300
Norfolk, VA 23505-4613

Phone

(757) 889-6580

Fax

(757) 889-6583

NPI assigned

May 2, 2007

Last updated

Jan 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Michael Graham, M.D.

Title

President/Director

Phone

(757) 889-6580

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE ORTHOPAEDIC CENTER FOR FOOT AND ANKLE RECONSTRUCTION Doing business as

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1770704819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGSLEY LN STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054613",
            "telephone_number": "757-889-6580",
            "fax_number": "757-889-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGSLEY LN STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054613",
            "telephone_number": "757-889-6580",
            "fax_number": "757-889-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPAEDIC CENTER FOR FOOT & ANKLE RECONSTRUCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "757-889-6580",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101044491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010140811",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE ORTHOPAEDIC CENTER FOR FOOT AND ANKLE RECONSTRUCTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Healthy Living Center Foundation C/O Primary Care Specialists, Inc (The Healthy Living Center)
• The James Barry Robinson Center
• The Lemich Clinic Consulting
• The Lightful Care Home Services LLC
• The Literacy OT, PLLC
• The Psychotherapy Center Solutions for Living LTD (The Psychotherapy Center)
• The Refuge LLC
• The Relationship Center of Hampton Roads
• The Smith Xperience
• The Talking Point (The Talking Point LLC)

• Specialist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.