Centers for Advanced Orthopaedics, LLC
Organization Active NPI Orthopaedic Surgery Physician · Winchester, VA
NPI 1912773136 · NPPES record last updated Nov 29, 2023
Key facts
- NPI
- 1912773136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
- Practice address
- 128 Medical Cir
Winchester, VA 22601-3322 - Phone
- (540) 667-8975
- Fax
- (540) 667-6589
- NPI assigned
- Nov 29, 2023
- Organization subpart
- No
Authorized official
- Name
- Nicholas Patrick Grosso, MD
- Title
- Principle Physician
- Phone
- (410) 644-1880
Other NPIs on the same Medicare enrollment 8
Practitioners 17
-
Nathan A Barr, DPT
-
Jeffrey S Botta, DPT
-
Madeline C Crim, MSOT
-
Shelby Dublin, DPT
-
Shawna W Guthrie, DPT
-
Melissa R Jennings, D.P.T.
-
Charles K. Roy, PT
-
Matthew A Shiffler, MPT
-
Michelle Smith, OT
-
Nathan S Wells, DPT
-
Matthew R Ammons, DPT
-
Kara Dehaven, PA-C
-
Tammy M Earhart, PA-C
-
Rachel A Knepper, DPT
-
Michael E Seem, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131009000695 | WV | Part B Supplier - Clinic/Group Practice | 8123260981 |
Receives reassigned benefits from 11 practitioners 1 other NPI on this enrollment Practice locations: Ranson, WV |
| O20140108001093 | VA | Part B Supplier - Clinic/Group Practice | 8123260981 |
Receives reassigned benefits from 124 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Woodbridge, VA; Winchester, VA; Stafford, VA; Manassas, VA; Fairfax, VA; Front Royal, VA; Haymarket, VA; Gainesville, VA… |
National Provider Directory
Locations
130 Medical Cir
Winchester, VA 22601
Phone (540) 667-7076
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
128 Medical Cir
Winchester, VA 22601-3322
Mailing address
PO Box 79831
Baltimore, MD 21279-0831
Other providers in Winchester, VA
- Centers for Advanced Orthopaedics LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Kristen Cercone
- Rachel Cerretani
- Michael E Cestaro
- Melanie Marie Chadwick
- Katherine Chambless
All providers in Winchester, VA · Orthopaedic Surgery Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.