MATTHEW J PANZARELLA (NPI# 1720313570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720313570 |
| Entity Type | Individual |
| Full Name | MATTHEW J PANZARELLA |
| Credential | M.D. |
| Practice Address |
595 Martha Jefferson Dr Ste 180 Charlottesville VA 22911-4669 |
| Mailing Address |
Po Box 79777 Baltimore MD 21279-0777 |
| Practice Telephone | 4346545575 |
| Practice Fax Number | 4346545574 |
| Mailing Telephone | 4346547794 |
| Mailing Fax Number | 4346545574 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
0101246814 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
595 MARTHA JEFFERSON DR STE 180 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-4669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285613034 | Stephen Burke Gunther | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2006-01-11 |
| 1740828185 | John J Walker II | Specialist/Technologist | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2019-12-17 |
| 1306209473 | Jon Bledsoe Barlow IIi | Physician Assistant | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2016-04-05 |
| 1861758187 | Katherine Anne Goodrich | Physician Assistant | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2012-04-11 |
| 1700014198 | Crystal Meera Dickson | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2009-06-24 |
| 1548411515 | Clark Case Baumbusch | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2008-10-08 |
| 1649473240 | Megan Ann Swanson | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2007-06-09 |
| 1043431935 | Stephen Hoover | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2007-05-01 |
| 1881621829 | Lisa A. Braden | Physician Assistant | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2006-06-26 |
| 1679553523 | John Z Edwards | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1821065848 | Mark D. Miller | Orthopaedic Surgery | 400 Ray C Hunt Dr, Suite 330, Charlottesville, VA 22903-2980 | 2006-03-08 |
| 1598191280 | Salah Zayed | Orthopaedic Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2013-09-25 |
| 1164756193 | Scott Ethan Barbash | Orthopaedic Surgery | 400 Ray C Hunt Dr, University of Virginia Department of Orthopaedic Surg, Charlottesville, VA 22903-2980 | 2009-09-23 |
| 1245474584 | Brian C Werner | Orthopaedic Surgery | 515 Ray C. Hunt Drive, Ste 1100, Charlottesville, VA 22903-0001 | 2009-04-30 |
| 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 |
| 1548261597 | Christopher A Kurtz | Orthopaedic Surgery | 9300 Dewitt Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2005-08-02 |
| 1649753500 | Sideline Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 111e Sanders Ln, Bluefield, VA 24605-9278 | 2018-09-07 |
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| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
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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.