Provider Demographics
NPI:1699853218
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:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLOGGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-397-9015
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:757-398-0779
Mailing Address - Fax:757-398-0030
Practice Address - Street 1:3640 HIGH ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3213
Practice Address - Country:US
Practice Address - Phone:757-397-6930
Practice Address - Fax:757-393-4864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1301190001Medicare NSC