NEW RIVER VALLEY ORTHOPAEDICS & SPORTS MEDICINE, INC. (NPI# 1467623405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467623405 |
| Entity Type | Organization |
| Organization Name | NEW RIVER VALLEY ORTHOPAEDICS & SPORTS MEDICINE, INC. |
| Practice Address |
120 Professional Park Dr Se Blacksburg VA 24060-6737 |
| Practice Telephone | 5405523601 |
| Practice Fax Number | 5405522741 |
| Mailing Telephone | 5405523601 |
| Mailing Fax Number | 5405522741 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | DR. MARC S SIEGEL (PRESIDENT) |
| Authorized Official Telephone | 5405523601 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6408095 | 05 | |
| VA | RR MEDICARE | C14902 | 01 |
| VA | AETNA | 0005182565 | 01 |
| VA | ANTHEM | 080233 | 01 |
| Street Address |
120 PROFESSIONAL PARK DR SE |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-6737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952004 | Patricia Maureen Williams | Specialist | 175 W Campus Dr, 110 Lr Hall, Blacksburg, VA 24061-1034 | 2020-11-02 |
| 1205199544 | Anne Lorene Bryan | Specialist | 510 Stadium Rd, 150 Jamerson Athletic Center, Blacksburg, VA 24061-1024 | 2012-06-21 |
| 1720098676 | John B Paulus Do LLC | Specialist | 2265 Kraft Drive, Blacksburg, VA 24063 | 2006-08-09 |
| 1508876657 | Nap Consultants PC | Specialist | 817 Davis Street Suite A, Blacksburg, VA 24060 | 2006-08-09 |
| 1447296868 | New River Neurology and Epilepsy | Specialist | 817 Davis St. Suite A, Blacksburg, VA 24060 | 2006-06-22 |
| 1316925068 | Neuropsychological & Counseling Services, Inc. | Specialist | 801 Summit Dr, Blacksburg, VA 24060-2826 | 2006-01-04 |
| 1851667471 | Diane Sylvia Owens | Specialist | 203 Church St Se, Blacksburg, VA 24060-4803 | 2012-03-28 |
| 1700102753 | Neurological Care Clinic PC | Specialist | 825 Davis St, Suite D, Blacksburg, VA 24060-7013 | 2010-04-15 |
| 1932306388 | Ability Physical Medicine and Rehabilitation Inc | Specialist | 3706 S Main St, Suite A, Blacksburg, VA 24060-7006 | 2007-06-29 |
| 1235262239 | Neurology Services of Southwest Virginia | Specialist | 210 Professional Park Dr Se, Suite 12, Blacksburg, VA 24060-6680 | 2007-03-13 |
| Find all providers in BLACKSBURG | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
Please comment or provide details below to improve the information on NEW RIVER VALLEY ORTHOPAEDICS & SPORTS MEDICINE, INC..
| 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.