Provider Demographics
NPI:1265462295
Name:ORTHOPAEDIC SURGERY CENTERS, PC II
Entity Type:Organization
Organization Name:ORTHOPAEDIC SURGERY CENTERS, PC II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:KNAUFT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-397-0783
Mailing Address - Street 1:PO BOX 7848
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-0848
Mailing Address - Country:US
Mailing Address - Phone:757-397-0783
Mailing Address - Fax:757-397-0236
Practice Address - Street 1:3300 HIGH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3321
Practice Address - Country:US
Practice Address - Phone:757-397-0783
Practice Address - Fax:757-397-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherTAX ID NUMBER
VA1301190001Medicare NSC
VAC05346Medicare PIN
VACG7748Medicare PIN
VACE2387Medicare PIN
VAC05304Medicare PIN
VA=========OtherTAX ID NUMBER
VA1301190005Medicare NSC
VA1301190004Medicare NSC
VAC05337Medicare PIN