DR. JED S VANICHKACHORN (NPI# 1740231463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740231463 |
| Entity Type | Individual |
| Full Name | DR. JED S VANICHKACHORN |
| Credential | MD |
| Practice Address |
1501 Maple Ave Nw Mob Suite 200 Richmond VA 23226-2553 |
| Mailing Address |
Po Box 71690 Richmond VA 23255-1690 |
| Practice Telephone | 8042852300 |
| Practice Fax Number | 8042858420 |
| Mailing Telephone | 8042852300 |
| Mailing Fax Number | 8042858420 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101221394 | VA | Other Service Providers |
| N | 207X00000X | Orthopaedic Surgery | 0101221394 | VA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
0101221394 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006409547 | 05 | |
| VI | ANTHEM | 173230 | 01 |
| Street Address |
1501 MAPLE AVE NW MOB SUITE 200 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847306 | Amy Morton Rhoads | Anesthesiology | 1501 Maple Ave, Suite 300, Richmond, VA 23226-2553 | 2005-08-02 |
| 1831580646 | The Orthopaedic Institute of Virginia Pllc | Specialist | 1501 Maple Ave, Nw Mob, Suite 200, Richmond, VA 23226-2553 | 2015-02-16 |
| 1922431014 | Megan Taylor Smith | Nurse Practitioner | 1501 Maple Ave, Richmond, VA 23226-2553 | 2013-08-13 |
| 1114277464 | Amy Virginia Brenner | Nurse Practitioner | 1501 Maple Ave, Ste 301, Richmond, VA 23226-2553 | 2012-09-13 |
| 1629379433 | Tuckahoe Orthopaedic Associates, Ltd. | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2010-11-10 |
| 1487954772 | Anne Taylor Schaaf | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2010-11-02 |
| 1780904250 | Gregory H. Hale | Orthopaedic Surgery | 1501 Maple Ave, Nw Mob Suite 200, Richmond, VA 23226-2553 | 2010-06-08 |
| 1568699841 | Colin Alexander Mudrick | Orthopaedic Surgery | 1501 Maple Ave, Suite 200, Nw Mob, Richmond, VA 23226-2553 | 2009-06-15 |
| 1104051960 | Stephanie Lane Gallegos | Physician Assistant | 1501 Maple Ave, Suite 200 Nw Mob, Richmond, VA 23226-2553 | 2009-05-22 |
| 1043464936 | Jessica Broadbent Delk | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2008-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407898570 | Gregory S. Hellwarth | Orthopaedic Surgery | 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 | 2006-06-12 |
| 1114992237 | Ravishankar Vedantam | Orthopaedic Surgery | 1050 Reid Parkway, Suite 100, Central Indiana Orthopedics, PC, Richmond, IN 47374-1156 | 2006-02-22 |
| 1770045239 | Sva Care of Va, LLC | Orthopaedic Surgery | 100 Shockoe Slip Fl 2, Richmond, VA 23219-4100 | 2019-04-03 |
| 1316324502 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 1050 Reid Pkwy, Suite 100, Richmond, IN 47374-1155 | 2015-04-27 |
| 1558313320 | John Michael Simpson | Orthopaedic Surgery | 1501 Maple Ave, Nw Mob Suite 200, Richmond, VA 23226-2553 | 2006-05-17 |
| 1972509230 | Mohammad Etminan | Orthopaedic Surgery | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883192 | Spine Center PC | Orthopaedic Surgery | 2726 Electric Rd Ste 203a, Roanoke, VA 24018-3528 | 2020-05-18 |
| 1992299598 | Hasz Spine Institute PC | Orthopaedic Surgery | 1830 Town Center Dr Ste 102, Reston, VA 20190-3216 | 2018-06-18 |
| 1881188506 | Nikhil Jain | Orthopaedic Surgery | 1215 Lee St - Box Number 800159, Charlottesville, VA 22908-0816 | 2018-06-16 |
| 1922516806 | Joint Replacement Cin of Northern Virginia LLC | Orthopaedic Surgery | 1900 Campus Commons Dr Ste 100a, Reston, VA 20191-1561 | 2018-01-13 |
| 1134562051 | Elliott Jiwoo Kim | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-10 |
| 1255695490 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 | 2012-07-03 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| 1144403262 | Kirven Orthopedic Group, P.C. | Orthopaedic Surgery | 5701 Cleveland Street, Suite 600, Virginia Beach, VA 23462 | 2007-12-12 |
| 1699859058 | Adel S Kebaish | Orthopaedic Surgery | 7787 Leesburg Pike, B, Falls Church, VA 22043-2412 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
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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.