NPIMap

Organization Active NPI

Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Norton, VA
National Provider Identifier
1831495613
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Practice address
338 Coeburn Ave SW
Norton, VA 24273-2606
Phone
(276) 679-0800
NPI assigned
Jan 27, 2011
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mr. Daryn Keeney
Title
Doo
Phone
(423) 239-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X TN Primary

Addresses

Primary practice location

338 Coeburn Ave SW
Norton, VA 24273-2606

Mailing address

4105 Ft Henry Dr Ste 300
Kingsport, TN 37663-2256
Phone (423) 239-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000432 VA Part B Supplier - Clinic/Group Practice 1052225471 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
Practice locations: Abingdon, VA; Norton, VA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1831495613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 FT HENRY DR STE 300",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632256",
            "telephone_number": "423-239-1550",
            "fax_number": "423-239-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 COEBURN AVE SW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242732606",
            "telephone_number": "276-679-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "DARYN",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "423-239-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.