Provider Demographics
NPI:1831273192
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:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:DONAFRIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-397-9015
Mailing Address - Street 1:3300 HIGH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3321
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:2006-10-24
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
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
VA191956OtherBCBS OT PROVIDER NUMBER
VA191957OtherBCBS PT PROVIDER NUMBER
VA150434301OtherDEPT OF LABOR
VA191956OtherBCBS OT PROVIDER NUMBER