COLONIAL ORTHOPAEDICS, INC (NPI# 1568406825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568406825 |
| Entity Type | Organization |
| Organization Name | COLONIAL ORTHOPAEDICS, INC |
| Other Organization Name | COLONIAL ORTHOPAEDICS |
| Practice Address |
131 Jennick Dr Colonial Heights VA 23834-4905 |
| Mailing Address |
13000 Rivers Bend Blvd Ste D Chester VA 23836 |
| Practice Telephone | 8045265888 |
| Practice Fax Number | 8045265401 |
| Mailing Telephone | 8045715000 |
| Mailing Fax Number | 8045181314 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MRS. DEE DEE ALVIS (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8045715132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
0101045456 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 0101034297 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 0101036726 | VA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
0101226595 | VA | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
0101231604 | VA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
0101237849 | VA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 0101222130 | VA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0101235833 | VA | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 2305005628 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 2306601247 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
0119000261 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
0101052925 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Colonial Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609201441 | Colonial Orthopaedics, Inc | Durable Medical Equipment & Medical Supplies | 13000 Rivers Bend Blvd, Ste E, Chester, VA 23836-8632 | 2013-09-12 |
| 1104376235 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 7101 Jahnke Rd, Suite 200, Richmond, VA 23225-4017 | 2016-10-13 |
| 1275940926 | Colonial Orthopaedics, Inc | Durable Medical Equipment & Medical Supplies | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2014-07-15 |
| 1780932970 | Colonial Orthopaedics, Inc | Clinic/Center | 13038 Rivers Bend Rd, Chester, VA 23836-2564 | 2012-08-21 |
| 1033422597 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 13034 Rivers Bend Rd, Chester, VA 23836-2564 | 2010-07-26 |
| 1992996722 | Colonial Orthopaedics, Inc | Occupational Therapist | 13048 Rivers Bend Rd, Chester, VA 23836-2564 | 2007-08-07 |
| 1336270289 | Colonial Orthopaedics, Inc | Clinic/Center | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2007-03-09 |
| 1720015852 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 106 N Main St, Hopewell, VA 23860-2719 | 2006-06-26 |
| 1689600447 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2006-06-24 |
| Street Address |
131 JENNICK DR |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365445 | Prakasam Kalluri | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2005-06-08 |
| 1528579539 | Emily K Czyzyk | Physician Assistant | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2017-10-17 |
| 1548707367 | Hannah L Leist | Physician Assistant | 131 Jennick Dr, Colonial Heights, VA 23834 | 2017-01-31 |
| 1912459371 | Stefanie A Labar | Physician Assistant | 131 Jennick Dr, Colonial Heights, VA 23834 | 2016-11-01 |
| 1912252891 | Justin W Taggart | Physical Therapist | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2012-07-17 |
| 1356676225 | Bradley E Kolesar | Physician Assistant | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2009-10-12 |
| 1649430612 | Neema M Amin | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834 | 2008-06-13 |
| 1851505176 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2007-05-09 |
| 1336270289 | Colonial Orthopaedics, Inc | Clinic/Center | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2007-03-09 |
| 1659304293 | Jennifer Lindsey Harless | Occupational Therapist | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174782627 | Vamsi M Singaraju | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751148 | Sideline Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 125 Akers Farm Rd Ste C&d, Christiansburg, VA 24073-4866 | 2019-07-08 |
| 1881171718 | Franklin Clinic Corp | Orthopaedic Surgery | 210 Fairview Dr Ste A, Franklin, VA 23851-1216 | 2018-07-24 |
| 1932638921 | Sideline Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 1787 W. Lee Hwy, Forest Medical Park, Unit B, Bldg 2, Wytheville, VA 24382-1437 | 2017-06-05 |
| 1477956878 | Virginia Commonwealth University | Orthopaedic Surgery | 821 W Franklin St, Richmond, VA 23284-9012 | 2014-09-30 |
| 1871920132 | Mark T Wolfe | Orthopaedic Surgery | 3906 Breezeport Way, Apt 105, Suffolk, VA 23435-1080 | 2013-10-02 |
| 1750724167 | Ryan Austin Harrell | Orthopaedic Surgery | 5818 Harbour View Blvd Ste 150d, Suffolk, VA 23435-3327 | 2013-04-16 |
| 1306088687 | Nathan William Coleman | Orthopaedic Surgery | 13350 Franklin Farm Rd Ste 220, Herndon, VA 20171-4095 | 2009-04-01 |
| 1497923288 | Ryan Glenn Miyamoto | Orthopaedic Surgery | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2008-02-14 |
| 1467662791 | Stephen F. Brockmeier | Orthopaedic Surgery | 515 Ray C Hunt Dr Ste 1100, Charlottesville, VA 22903-2981 | 2007-05-23 |
| 1386706620 | David R. Diduch | Orthopaedic Surgery | 515 Ray C. Hunt Dr, Charlottesville, VA 22903-2981 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
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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.