Provider Demographics
NPI:1194833715
Name:BONE & JOINT SPECIALISTS OF WINCHESTER, P.C.
Entity Type:Organization
Organization Name:BONE & JOINT SPECIALISTS OF WINCHESTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:540-667-9252
Mailing Address - Street 1:152 LINDEN DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2818
Mailing Address - Country:US
Mailing Address - Phone:540-667-9252
Mailing Address - Fax:540-722-4514
Practice Address - Street 1:190 CAMPUS BLVD
Practice Address - Street 2:STE 310
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2872
Practice Address - Country:US
Practice Address - Phone:540-667-9252
Practice Address - Fax:540-722-4514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DD1074OtherRAILROAD MEDICARE
WV3810003367Medicaid
WV3810003367Medicaid
VA5427800001Medicare NSC