Provider Demographics
NPI:1952348252
Name:TRIEPEL, CAROLINE ROGERS (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ROGERS
Last Name:TRIEPEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11761 ROCK LANDING DR
Mailing Address - Street 2:STE 8
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4235
Mailing Address - Country:US
Mailing Address - Phone:757-252-5600
Mailing Address - Fax:757-226-0157
Practice Address - Street 1:844 KEMPSVILLE RD STE 104
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3927
Practice Address - Country:US
Practice Address - Phone:757-252-5600
Practice Address - Fax:757-226-0157
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053310207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC280270Medicaid
AA10083234Medicare ID - Type Unspecified
SC280270Medicaid