THE ORTHOPAEDIC CENTER FOR FOOT & ANKLE RECONSTRUCTION (NPI# 1770704819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770704819 |
| Entity Type | Organization |
| Organization Name | THE ORTHOPAEDIC CENTER FOR FOOT & ANKLE RECONSTRUCTION |
| Other Organization Name | THE ORTHOPAEDIC CENTER FOR FOOT AND ANKLE RECONSTRUCTION |
| Practice Address |
100 Kingsley Ln Ste 300 Norfolk VA 23505-4613 |
| Practice Telephone | 7578896580 |
| Practice Fax Number | 7578896583 |
| Mailing Telephone | 7578896580 |
| Mailing Fax Number | 7578896583 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-01-14 |
| Authorized Official Name | ROBERT MICHAEL GRAHAM (PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 7578896580 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101044491 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010140811 | 05 |
| Other Name | Type Code |
|---|---|
| THE ORTHOPAEDIC CENTER FOR FOOT AND ANKLE RECONSTRUCTION | Doing Business As Name - Organization |
| Street Address |
100 KINGSLEY LN STE 300 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| 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 |
|---|---|---|---|---|
| 1952818189 | Gabrielle Dorann Martineau | Specialist | 52 Pleasant Dr, Norfolk, NY 13667-3296 | 2018-01-09 |
| 1548704570 | Nicole Anthony | Specialist | 242 W 26th St, Norfolk, VA 23517-1312 | 2016-12-09 |
| 1497206692 | Ruth Short | Specialist | 28 Sober St, Norfolk, NY 13667-4147 | 2016-10-23 |
| 1053742676 | Ericka D. Thompson | Specialist | 400 W Brambleton Ave Ste 300, Norfolk, VA 23510-1115 | 2013-12-07 |
| 1831476472 | Lorena Decker | Specialist | 870 N Military Hwy, 310, Norfolk, VA 23502-3638 | 2011-11-10 |
| 1568609857 | Terry Escobar | Specialist | 6200 Curlew Dr, Norfolk, VA 23502-4718 | 2009-01-08 |
| 1609011568 | Parker Babington | Specialist | 301 Riverview Ave Ste 400, Norfolk, VA 23510-1065 | 2008-12-07 |
| 1902094022 | Retinal Consultants Inc | Specialist | 400 Gresham Dr Ste 802, Norfolk, VA 23507-1901 | 2007-10-15 |
| 1720272594 | Jennifer Z Vevoda | Specialist | 171 Kempsville Rd Bldg A1, Norfolk, VA 23502-4700 | 2007-09-05 |
| 1073683769 | Melvin R Morrison Dds Ltd | Specialist | 204 Medical Tower, Norfolk, VA 23507-1901 | 2006-11-09 |
| Find all providers in NORFOLK | ||||
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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.