Provider Demographics
NPI:1841224912
Name:VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
Entity Type:Organization
Organization Name:VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-321-3398
Mailing Address - Street 1:230 CLEARFIELD AVE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1832
Mailing Address - Country:US
Mailing Address - Phone:757-321-3383
Mailing Address - Fax:757-321-3332
Practice Address - Street 1:1309 EXECUTIVE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3671
Practice Address - Country:US
Practice Address - Phone:757-321-3300
Practice Address - Fax:757-321-3360
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-11
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041556207X00000X
VA2305003416225100000X
VA0119003467225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACE8289OtherMEDICARE RAILROAD
VA1230520010OtherDMERC
VACE8289OtherMEDICARE RAILROAD
VA1230520010Medicare NSC