Southside Orthopedic Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101023902 Issued in VA

Legal business name

SOUTHSIDE ORTHOPEDIC ASSOCIATES, PC

Practice address

1509 West Third St
Farmville, VA 23901

Phone

(434) 392-8849

Fax

(434) 392-3280

NPI assigned

Dec 21, 2007

Last updated

Dec 21, 2007By 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

Candi Mahan

Title

Billing Manager

Phone

(434) 392-8849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1841474236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 WEST THIRD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-8849",
            "fax_number": "434-392-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 WEST THIRD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-8849",
            "fax_number": "434-392-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE ORTHOPEDIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "CANDI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "434-392-8849"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101023902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Community Hospital, Inc. (Centra Southside Community Hospital)
• Southside Eye Center PC
• Southside Internal Medicine, PC
• Southside Medical Practice PLLC
• Southside Optical Center LLC
• Southside Therapy Associates, Inc. (Progressive Therapy)
• Southside Urology Clinic PC
• Southside VA Family Young Men's Christian Association
• Sozo Healthcare, LLC
• St. John Legacy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.