Provider Demographics
NPI:1770669673
Name:ORTHOCARERN RICHMOND VA INC.
Entity Type:Organization
Organization Name:ORTHOCARERN RICHMOND VA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:CROTSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-391-2772
Mailing Address - Street 1:300 ARBORETUM PL
Mailing Address - Street 2:SUITE 510
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3475
Mailing Address - Country:US
Mailing Address - Phone:804-330-5544
Mailing Address - Fax:804-330-5554
Practice Address - Street 1:300 ARBORETUM PL
Practice Address - Street 2:SUITE 510
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-3475
Practice Address - Country:US
Practice Address - Phone:804-330-5544
Practice Address - Fax:804-330-5554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497625Medicare Oscar/Certification