Orthovirginia Care Management LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ORTHOVIRGINIA CARE MANAGEMENT LLC

Practice address

7858 Shrader Rd
Henrico, VA 23294-4222

Phone

(804) 560-5595

Fax

(804) 560-9029

NPI assigned

Nov 4, 2019

Organization subpart

Yes

Parent organization

ORTHOVIRGINIA CARE MANAGEMENT LLC ORTHOVIRGINIA INC SOLE MBRAs reported in NPPES

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

Authorized official

Name

Dale Ingram

Title

Ceo

Phone

(804) 915-4600

Specialties & licenses 1

Addresses

Part of

Orthovirginia Care Management LLC

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1841834819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-915-4607",
            "fax_number": "804-560-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7858 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944222",
            "telephone_number": "804-560-5595",
            "fax_number": "804-560-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOVIRGINIA CARE MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOVIRGINIA CARE MANAGEMENT LLC  ORTHOVIRGINIA INC SOLE MBR",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-915-4600"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Henrico, VA
• Providers in Henrico, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.