Orthopaedic Surgery & Sports Med Specialist of Hampton RDS PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORTHOPAEDIC SURGERY & SPORTS MED SPECIALIST OF HAMPTON RDS PC

Doing business as

Coastal Virginia Surgery Center

Practice address

580 City Center Blvd
Newport News, VA 23606

Phone

(757) 782-4886

NPI assigned

Jun 10, 2020

Last updated

Jun 10, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHOPAEDIC SURGERY & SPORTS MED SPECIALIST OF HAMPTON RDS PCAs reported in NPPES

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

Authorized official

Name

Kimberly Anne Cologgi

Title

Billing Manager

Phone

(757) 596-1900

Specialties & licenses 1

Addresses

Other names 1

• Coastal Virginia Surgery Center Doing business as

Tax ID family

Jennifer Janson PA C2 organizations share this tax ID, including this one

Part of

Jennifer Janson PA C

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthopaedic Surgery and Sports Medicine Specialists

  dba Orthopaedic and Spine Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Newport News, VA
  • NPI 1700190170
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orthopaedic Surgery & Sports Med Specialist of Hampton RDS PC

  dba Orthopaedic & Spine Center

  • Orthopaedic Surgery Physician
  • Newport News, VA
  • NPI 1801957378
  NPPES parent name

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1841815412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NAT TURNER BLVD S",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063074",
            "telephone_number": "757-596-1900",
            "fax_number": "866-420-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CITY CENTER BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-782-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY & SPORTS MED SPECIALIST OF HAMPTON RDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC SURGERY & SPORTS MED SPECIALIST OF HAMPTON RDS PC",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "COLOGGI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "757-596-1900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Virginia Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenda Salome Ordonez-Anazco, RD
• Kyle Orr, D.M.D.
• Alexander Robert Orta, DO
• Jacob Ortega, DO
• Orthopaedic Surgery & Sports Med Specialist of Hampton RDS PC (Orthopaedic & Spine Center)
• Orthopaedic Surgery and Sports Medicine Specialists (Orthopaedic and Spine Center)
• Ingrid J Ortiz, FNP
• Paul D Osborne, MD
• Tina Marie Ouellette, COTA
• Our Path Counseling Center

• Ambulatory Surgical Clinic/Center in Newport News, VA
• Providers in Newport News, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.