Provider Demographics
NPI:1750330940
Name:ORTHOPEDIC ASSOCIATES, LTD
Entity Type:Organization
Organization Name:ORTHOPEDIC ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:GALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CMM
Authorized Official - Phone:540-332-5864
Mailing Address - Street 1:70 MEDICAL CENTER CIR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2273
Mailing Address - Country:US
Mailing Address - Phone:540-332-5850
Mailing Address - Fax:540-332-5851
Practice Address - Street 1:70 MEDICAL CENTER CIR
Practice Address - Street 2:SUITE 110
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2273
Practice Address - Country:US
Practice Address - Phone:540-332-5850
Practice Address - Fax:540-332-5851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0358108OtherCIGNA
081305000-00OtherSOUTHERN HEALTH
311849OtherSOUTERH HEALTH
2140307OtherCIGNA
VA001147OtherANTHEM BCBS
081304000-00OtherSOUTHERN HEALTH
601456000-00OtherSOUTHERN HEALTH
214144OtherSOUTHERN HEALTH
081305000-00OtherSOUTHERN HEALTH
2140307OtherCIGNA