JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS (NPI# 1033145404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033145404 |
| Entity Type | Organization |
| Organization Name | JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS |
| Other Organization Name | JORDAN-YOUNG INSTITUTE |
| Practice Address |
5716 Cleveland St Suite 200 Virginia Beach VA 23462-1784 |
| Practice Telephone | 7575028570 |
| Practice Fax Number | 7579619767 |
| Mailing Telephone | 7575028570 |
| Mailing Fax Number | 7579619767 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | JACK L SIEGEL (PRESIDENT) |
| Authorized Official Telephone | 7575028570 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jordan-Young Institute | Doing Business As Name - Organization |
| Street Address |
5716 CLEVELAND ST SUITE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-1784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952348252 | Caroline Rogers Triepel | Orthopaedic Surgery | 5716 Cleveland St, Suite 210, Virginia Beach, VA 23462-1784 | 2006-06-02 |
| 1134772734 | Sydney Campbell | Specialist/Technologist | 5716 Cleveland St, Virginia Beach, VA 23462-1784 | 2019-07-23 |
| 1124416417 | Jordan Young Institute | Specialist/Technologist, Other | 5716 Cleveland St, Virginia Beach, VA 23462-1784 | 2015-01-08 |
| 1710384078 | Allison Hetrick | Specialist/Technologist | 5716 Cleveland St, Virginia Beach, VA 23462-1784 | 2014-12-01 |
| 1427366533 | Alyssa R Fisher | Specialist/Technologist | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2010-09-23 |
| 1033380936 | Samuel Pomeroy Robinson | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2008-03-18 |
| 1427109602 | Jana Liedman | Physical Therapy Assistant | 5716 Cleveland St, Suite 120, Virginia Beach, VA 23462-1784 | 2007-01-15 |
| 1104855667 | James E Dowd | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| 1376572883 | Kevin Francis Bonner | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| 1316976632 | Louis C Jordan | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770709412 | Frank G. Burns | Orthopaedic Surgery | 2701 Shorehaven Dr, Virginia Beach, VA 23454-1721 | 2007-04-18 |
| 1952440950 | Alexander Aboka | Orthopaedic Surgery | 1232 Perimeter Pkwy Ste 205, Virginia Beach, VA 23454-5924 | 2007-02-06 |
| 1821054438 | Paul N Krop | Orthopaedic Surgery | 1800 Camelot Drive, Suite 300, Virginia Beach, VA 23454 | 2006-04-22 |
| 1164971545 | Orthovirgina, Inc. | Orthopaedic Surgery | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2016-09-27 |
| 1841692571 | Sentara Medical Group | Orthopaedic Surgery | 1080 First Colonial Rd Ste 305, Virginia Beach, VA 23454-2406 | 2014-09-25 |
| 1528301520 | William Abbott Byrd | Orthopaedic Surgery | 1975 Glenn Mitchell Dr Ste 200, Virginia Beach, VA 23456 | 2013-03-28 |
| 1326215518 | Blake E Moore | Orthopaedic Surgery | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2008-05-15 |
| 1295803567 | Joseph S Gondusky | Orthopaedic Surgery | 5716 Cleveland St Ste 200, Virginia Beach, VA 23462-1784 | 2006-12-02 |
| 1407937782 | Louis R Jordan | Orthopaedic Surgery | 5501 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6540 | 2006-10-17 |
| 1417053968 | Sandra E. Glasson | Orthopaedic Surgery | 968 First Colonial Rd, 101, Virginia Beach, VA 23454-3171 | 2006-09-15 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.