| Dr Omar Alexander Protzuk, MD | |
|
Vcuhs Dept Of Orts Residency, 980153, 1250 E. Marshall Street, Richmond, VA 23298-0153 | |
| (804) 827-1204 | |
| Not Available |
| Full Name | Dr Omar Alexander Protzuk |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | Vcuhs Dept Of Orts Residency, 980153, Richmond, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982267274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 1018532 (Massachusetts) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 0101285954 (Virginia) | Primary |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omar Alexander Protzuk, MD 1200 E Broad St # 980153, Richmond, VA 23298-5025 Ph: (804) 628-2676 | Dr Omar Alexander Protzuk, MD Vcuhs Dept Of Orts Residency, 980153, 1250 E. Marshall Street, Richmond, VA 23298-0153 Ph: (804) 827-1204 |
Dr. Stephen Lloyd Kates, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Orthopaedic Surgery, Richmond, VA 23298 Phone: 804-828-7069 Fax: 804-828-4762 | |
Dr. David Daniel Nedeff, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Johnston Willis Dr, Suite A, Richmond, VA 23235 Phone: 804-379-8088 Fax: 804-794-6067 | |
Victoria Gregg Kuester, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Orthoapaedic Surgery, Richmond, VA 23298 Phone: 804-828-7069 Fax: 804-827-1521 | |
Jonathan Brett Goodloe, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1001 E Leigh St, Richmond, VA 23298 Phone: 804-828-7069 Fax: 804-828-4762 | |
Nischal Nadig, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1501 Maple Ave Ste 200, Richmond, VA 23226 Phone: 804-285-2300 | |
Dirk Wayne Verheul, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: Vcuhs Dept Of Orthopaedic Surgery Residency, 1001 East Leigh Street, 12th Floor, Richmond, VA 23219 Phone: 804-828-1204 | |
Jason R Hull, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Maple Ave, Suite 200, Richmond, VA 23226 Phone: 804-285-2300 Fax: 804-285-8420 |