COLONIAL ORTHOPAEDICS INC (NPI# 1790712834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790712834 |
| Entity Type | Organization |
| Organization Name | COLONIAL ORTHOPAEDICS INC |
| Practice Address |
325 Charles H Dimmock Pkwy Ste 100 Colonial Heights VA 23834-2986 |
| Practice Telephone | 8045265888 |
| Practice Fax Number | 8045265401 |
| Mailing Telephone | 8045265888 |
| Mailing Fax Number | 8045265401 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JENNIFER BAILEY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8045715106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101034297 | 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 | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
0101045456 | VA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
0101052925 | VA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 0101036726 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM-BHULLER | 183282 | 01 |
| VA | 010216109 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1510 N 28th St, Suite 103, Richmond, VA 232235332 | 8045265888 | 8045265401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| 1760696082 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 6055 Harbour Park Dr, Midlothian, VA 23112-2160 | 2007-05-09 |
| 1053778845 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2016-01-25 |
| 1598084212 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 13034 Rivers Bend Rd, Chester, VA 23836-2564 | 2010-05-20 |
| 1669686994 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 106 N Main St, Hopewell, VA 23860-2719 | 2007-05-09 |
| 1851505176 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2007-05-09 |
| 1093929325 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2007-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Colonial Orthopaedics Inc. | Po Box 42, Colonial Heights, Virginia 23834 |
| Street Address |
325 CHARLES H DIMMOCK PKWY STE 100 |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860594 | Timothy J Marqueen | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2005-06-08 |
| 1548821630 | Virginia Commonwealth University Health System Authority | General Acute Care Hospital | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2019-06-28 |
| 1053778845 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2016-01-25 |
| 1992161921 | Claire Emma Jackson | Physical Therapist | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2016-01-06 |
| 1275940926 | Colonial Orthopaedics, Inc | Durable Medical Equipment & Medical Supplies | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2014-07-15 |
| 1104062637 | Michelle Candice Crouse | Physical Therapist | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2009-01-06 |
| 1174782627 | Vamsi M Singaraju | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2008-06-09 |
| 1093929325 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2007-05-09 |
| 1922171958 | Vivek Sharma | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2006-11-16 |
| 1689600447 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2006-06-24 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| 1558365445 | Prakasam Kalluri | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2005-06-08 |
| 1508860594 | Timothy J Marqueen | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2005-06-08 |
| 1053778845 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2016-01-25 |
| 1649430612 | Neema M Amin | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834 | 2008-06-13 |
| 1922171958 | Vivek Sharma | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2006-11-16 |
| 1003815218 | Manjit S. Dhillon | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2005-07-19 |
| 1821097031 | Sharad Kumar N. Saraiya | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2005-07-19 |
| 1619976826 | Praveer Srivastava | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2005-07-19 |
| 1770582199 | Gurpal S. Bhuller | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2005-07-18 |
| Find all providers in COLONIAL HEIGHTS | ||||
| 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.