Gloucester Orthopaedic Clinic P C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101042323 Issued in VA

Legal business name

GLOUCESTER ORTHOPAEDIC CLINIC P C

Practice address

7584 Hospital Dr
Building C, Suite 202
Gloucester, VA 23061-4178

Phone

(804) 693-4645

Fax

(804) 693-5985

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Bach Crawford, M.D.NPI 1124026257

Title

President

Phone

(804) 693-4645

Specialties & licenses 2

Addresses

Other names 1

• YORK RIVER ORTHOPAEDICS & SPORTS MEDICINE Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Bach Crawford, MD

  • Orthopaedic Surgery Physician
  • Gloucester, VA
  • NPI 1124026257
  NPD (past) Authorized official
• Hugh McLellan Bryan III, M.D.

  • Orthopaedic Surgery Physician
  • Gloucester, VA
  • NPI 1184692733
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1790744423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230610646",
            "telephone_number": "804-693-4645",
            "fax_number": "804-693-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7584 HOSPITAL DR",
            "address_2": "BUILDING C, SUITE 202",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230614178",
            "telephone_number": "804-693-4645",
            "fax_number": "804-693-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOUCESTER ORTHOPAEDIC CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BACH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-693-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101042323",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101032226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YORK RIVER ORTHOPAEDICS & SPORTS MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Gilman, LCSW
• Gloucester County Public Schools
• Gloucester Mathews Care Clinic
• Gloucester Mathews Care Clinic
• Gloucester Ophthalmic Associates, Inc
• Gloucester Pediatrics, PC
• Gloucester Volunteer Fire and Rescue Squad, Inc.
• Shannon Marie Goldsmith, OTR
• Brandi Dalton Gomez, NP
• Gloria J. Gordy, GLORIA GORDY

• Orthopaedic Surgery Physician in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.