Centers for Advanced Orthopaedics, LLC
Organization Active NPI Orthopaedic Surgery Physician · Leesburg, VA
NPI 1982160362 · NPPES record last updated Mar 13, 2020
Key facts
- NPI
- 1982160362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
- Practice address
- 19465 Deerfield Ave Ste 405
Leesburg, VA 20176 - Phone
- (703) 858-1800
- Fax
- (703) 858-1801
- NPI assigned
- Feb 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Richard Robinson
- Title
- Coo
- Phone
- (301) 637-8712
Other NPIs on the same Medicare enrollment 46
Practitioners 42
-
Nadia E Bangura, PA-C
-
Catherine L Boatright, OTR/L
-
Rebecca Boyce, FNP-C
-
Eric D Fisher, PA-C
-
Karrie Giger Trotman, DPT
-
Lori Brown Johnson, MPT
-
Raymond Francis Lower, D.O.
-
Lauren H Mast, PA-C
-
Sohail Safdari, PA-C
-
Najwa J Wallschlaeger, OTRL
-
Victor Okanimba Anyangwe, M.D.
-
Andrea Wick Bush, PA-C
-
Mary Ann S Gillego Carado, PT, DPT
-
Philip Joseph Hane, DPT
-
Daniel Jeffrey Keim, DPT
-
Ramakrishna R Kosuri, M.D.
-
Cherice Marie Ledbetter, PT, DPT
-
Dana N Logan, PT
-
Sydney Lynn Marinelli, PA-C
-
Casey Leigh McKenzie, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MD, DC, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130808000102 | MD | Part B Supplier - Clinic/Group Practice | 8123260981 |
Receives reassigned benefits from 556 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20131024001780 | DC | Part B Supplier - Clinic/Group Practice | 8123260981 |
Receives reassigned benefits from 447 practitioners 33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
19465 Deerfield Ave Ste 405
Leesburg, VA 20176
Mailing address
6707 Democracy Blvd Ste 504
Bethesda, MD 20817-1166
Phone (703) 858-1800
Other providers in Leesburg, VA
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- Michael Nicholas Ceo
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All providers in Leesburg, 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 Mar 13, 2020. 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.