CHIPPENHAM & JOHNSTON WILLIS SPORTS MEDICINE, LLC (NPI# 1477731925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477731925 |
| Entity Type | Organization |
| Organization Name | CHIPPENHAM & JOHNSTON WILLIS SPORTS MEDICINE, LLC |
| Other Organization Name | CJW SPORTS MEDICINE, LLC |
| Practice Address |
3501 Festival Park Plaza Chester VA 23831 |
| Mailing Address |
500 Hioaks Rd Suite A Richmond VA 23225-4061 |
| Practice Telephone | 8045606500 |
| Practice Fax Number | 8045606505 |
| Mailing Telephone | 8045606500 |
| Mailing Fax Number | 8045606505 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | HUNTER LEE DURVIN (MANAGER) |
| Authorized Official Telephone | 8045606511 |
| Authorized Official Credential | ATC |
| Is Organization Subpart | Y |
| Parent Organization Name | CJW MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| CJW Sports Medicine, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467576249 | Chippenham & Johnston Willis Sports Medicine, LLC | Specialist | 5309 Commonwealth Centre Parkway, Suite 100, Midlothian, VA 23112 | 2007-03-19 |
| 1639448962 | Chippenham & Johnston Willis Sports Medicine, LLC | Family Medicine | 1115 Boulders Pkwy, Suite 110, North Chesterfield, VA 23225-4067 | 2011-12-15 |
| 1770813230 | Chippenham & Johnston Willis Sports Medicine, LLC | Specialist | 11621 Robious Rd, Midlothian, VA 23113-2349 | 2010-01-06 |
| Street Address |
3501 FESTIVAL PARK PLAZA |
| City | CHESTER |
| State | VA |
| Zip Code | 23831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| 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 |
|---|---|---|---|---|
| 1689025967 | Jacqueline Perez | Specialist | 4507 Whispering Hills, Chester, NY 10918 | 2016-06-28 |
| 1932556834 | Deborah Siegel | Specialist | 4 Chester Acres Blvd, Chester, NY 10918-1435 | 2016-05-20 |
| 1639541311 | Deeann Nancy Snyder | Specialist | 16 Primrose Ln, Chester, NY 10918 | 2015-10-21 |
| 1407278567 | Crista Manieri | Specialist | 14020 Sandy Oak Rd, Chester, VA 23831-6749 | 2014-01-09 |
| 1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
| 1720337645 | Sharon Nulty | Specialist | 1915 Whispering Hls, Chester, NY 10918-1551 | 2012-09-06 |
| 1265795975 | Yolanda D Miller | Specialist | 1 Marion St, Chester, NY 10918-8205 | 2012-06-18 |
| 1073876785 | Maureen Mottola | Specialist | 14 Country Woods Dr, Chester, NY 10918-4718 | 2012-06-18 |
| 1689936551 | Diane Arnett | Specialist | 119 Nancy Ln, Chester, NY 10918-1439 | 2012-06-15 |
| 1275834814 | Interventional Pain & Spine Specialists, Pllc | Specialist | 12230 Branders Creek Dr, Chester, VA 23831 | 2010-11-13 |
| Find all providers in CHESTER | ||||
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| 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.