Radford Orthopedic Center, P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101036314 Issued in VA

Legal business name

RADFORD ORTHOPEDIC CENTER, P.C.

Practice address

601 Harvey St
Radford, VA 24141-2339

Phone

(540) 639-9315

Fax

(540) 731-0860

NPI assigned

Nov 8, 2006

Last updated

Aug 21, 2008By 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

Kenneth W Gray, MDNPI 1033147376

Title

President

Phone

(540) 639-9315

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Gray, M.D.

  • Orthopaedic Surgery Physician
  • Radford, VA
  • NPI 1033147376
  Medicare reassignment NPD Authorized official
• Kerry Donnelly, M.D.

  • Orthopaedic Surgery Physician
  • Radford, VA
  • NPI 1124056346
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1982774204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HARVEY ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412339",
            "telephone_number": "540-639-9315",
            "fax_number": "540-731-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HARVEY ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412339",
            "telephone_number": "540-639-9315",
            "fax_number": "540-731-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADFORD ORTHOPEDIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-639-9315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101036314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006430121",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033147376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124056346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION C",
            "identifier": "0781510001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006400205",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radford Counseling Group LLC
• Radford Drug Inc
• Radford Drug, Inc. T/a the Medicine Shoppe #1286 (Radford Drug Inc.)
• Radford Family Dental, Inc.
• Radford Family Medicine LLC
• Radford University (Radford University Family Health Clinics)
• Radford University
• Rebecca Reppert, ED.S.
• Christopher Paul Riegert, PHARMD
• Deborah S Ring, FNP-C

• Orthopaedic Surgery Physician in Radford, VA
• Providers in Radford, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.