| Vann-virginia Center For Orthopaedics Pc | |
|
6160 Kempsville Cir, Suite 200 B, Norfolk, VA 23502-3933 | |
| (757) 321-3300 | |
| (757) 455-5598 |
| Full Name | Vann-virginia Center For Orthopaedics Pc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 6160 Kempsville Cir, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639125271 | NPI | - | NPPES |
| CE8289 | Other | VA | MEDICARE RAILROAD |
| 1230520008 | Other | VA | DMERC |
| Provider Name | Jodi F Harrity |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801840855 PECOS PAC ID: 1850383506 Enrollment ID: I20040409000472 |
| Provider Name | Mark A Bewley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023073889 PECOS PAC ID: 4981686029 Enrollment ID: I20040603000167 |
| Provider Name | Wilford Gibson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184681678 PECOS PAC ID: 8921083387 Enrollment ID: I20040621000628 |
| Provider Name | Darrell M Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750499885 PECOS PAC ID: 5698750024 Enrollment ID: I20040621001118 |
| Provider Name | Chad R Manke |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1114965159 PECOS PAC ID: 9931184363 Enrollment ID: I20040621001142 |
| Provider Name | Joann W Dervay |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043275803 PECOS PAC ID: 2860470390 Enrollment ID: I20040712000465 |
| Provider Name | Cynthia K Cooper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225146541 PECOS PAC ID: 1557335692 Enrollment ID: I20040824000634 |
| Provider Name | Charles E Shuff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437248622 PECOS PAC ID: 5294702296 Enrollment ID: I20040910000254 |
| Provider Name | Elizabeth E Ware |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316055239 PECOS PAC ID: 4688634975 Enrollment ID: I20041012000708 |
| Provider Name | Corynn Wixon James |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952419160 PECOS PAC ID: 0244298966 Enrollment ID: I20041228000890 |
| Provider Name | Lankhue T Dinh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205819828 PECOS PAC ID: 0345292637 Enrollment ID: I20050215000561 |
| Provider Name | Claire R Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972611952 PECOS PAC ID: 1153360862 Enrollment ID: I20050502000470 |
| Provider Name | David Michael Clifford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255398749 PECOS PAC ID: 4082659503 Enrollment ID: I20050624000930 |
| Provider Name | Bradley Thomas Butkovich |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154372712 PECOS PAC ID: 1456397611 Enrollment ID: I20050628001419 |
| Provider Name | Lawrence E Donato |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497701189 PECOS PAC ID: 8325044944 Enrollment ID: I20061004000525 |
| Provider Name | Beth A Shultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588605935 PECOS PAC ID: 5092715334 Enrollment ID: I20070110000212 |
| Provider Name | Jamie Beasley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780774794 PECOS PAC ID: 3971605387 Enrollment ID: I20070302000183 |
| Provider Name | Holly E Acree |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265568356 PECOS PAC ID: 9537265822 Enrollment ID: I20070502000659 |
| Provider Name | Ruth G Tubb |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043488794 PECOS PAC ID: 3274611702 Enrollment ID: I20080423000492 |
| Provider Name | Andrew B Coulter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053572586 PECOS PAC ID: 5496820128 Enrollment ID: I20080814000704 |
| Provider Name | Sabrina L Letner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568602407 PECOS PAC ID: 8729135942 Enrollment ID: I20090406000656 |
| Provider Name | Paul D Warren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205814068 PECOS PAC ID: 4486702172 Enrollment ID: I20090507000314 |
| Provider Name | David J Gregory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780723247 PECOS PAC ID: 1759437080 Enrollment ID: I20090928000729 |
| Provider Name | George R Payne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982644258 PECOS PAC ID: 3971636887 Enrollment ID: I20100729000189 |
| Provider Name | Timothy E Budorick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124084710 PECOS PAC ID: 5597898338 Enrollment ID: I20100730000831 |
| Provider Name | Samuel C Kline |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1588621148 PECOS PAC ID: 8123213543 Enrollment ID: I20101111000447 |
| Provider Name | Danielle R Boomer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902034085 PECOS PAC ID: 0244425189 Enrollment ID: I20101117000596 |
| Provider Name | Michael Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982880191 PECOS PAC ID: 1254413917 Enrollment ID: I20110803000768 |
| Provider Name | Bradley C. Carofino |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1194904474 PECOS PAC ID: 3476745720 Enrollment ID: I20120716000592 |
| Provider Name | Ryan Joseph Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194080648 PECOS PAC ID: 5395991582 Enrollment ID: I20120802000743 |
| Provider Name | Christina G Mccarville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245587278 PECOS PAC ID: 9739336603 Enrollment ID: I20120828000580 |
| Provider Name | James Barry Sanderlin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659507721 PECOS PAC ID: 2365684115 Enrollment ID: I20130808000016 |
| Provider Name | Luke H Balsamo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952477317 PECOS PAC ID: 2466698055 Enrollment ID: I20131120001116 |
| Provider Name | Blake Ellington Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326215518 PECOS PAC ID: 3870773757 Enrollment ID: I20140716000322 |
| Provider Name | Cynthia A Larsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144365412 PECOS PAC ID: 7618072612 Enrollment ID: I20140812000211 |
| Provider Name | Ashley Chaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740424191 PECOS PAC ID: 7315130184 Enrollment ID: I20141208000328 |
| Provider Name | Alexandra Fackrell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275874125 PECOS PAC ID: 2668799859 Enrollment ID: I20150327000814 |
| Provider Name | Beth D Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952786030 PECOS PAC ID: 2961718119 Enrollment ID: I20150902001207 |
| Provider Name | Jennifer L Rascoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699178343 PECOS PAC ID: 7012227226 Enrollment ID: I20151030000006 |
| Provider Name | Derek M Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487027173 PECOS PAC ID: 5395046734 Enrollment ID: I20151209000919 |
| Provider Name | Dale R Fluegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316096886 PECOS PAC ID: 4183683618 Enrollment ID: I20151209001054 |
| Provider Name | Jonathan W Strand |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578821872 PECOS PAC ID: 3476822404 Enrollment ID: I20170707001405 |
| Provider Name | Kelly L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639696867 PECOS PAC ID: 3274891742 Enrollment ID: I20171212000507 |
| Provider Name | Susan Bousquet |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912407214 PECOS PAC ID: 5991067241 Enrollment ID: I20180326001231 |
| Provider Name | Jennifer Anne Buda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215437348 PECOS PAC ID: 6305108382 Enrollment ID: I20180403001839 |
| Provider Name | Jennifer Marie Byrd |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1912337486 PECOS PAC ID: 9234410325 Enrollment ID: I20190702002645 |
| Provider Name | William Abbott Byrd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528301520 PECOS PAC ID: 5092067116 Enrollment ID: I20190805000712 |
| Provider Name | Jeffrey T Needy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306125570 PECOS PAC ID: 5496927691 Enrollment ID: I20191017002798 |
| Provider Name | Samantha Jane Vestal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922632124 PECOS PAC ID: 2264861046 Enrollment ID: I20200330001882 |
| Provider Name | Sean Eric Surber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902423700 PECOS PAC ID: 6103242409 Enrollment ID: I20200818000578 |
| Provider Name | Shannon H Goodman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891449765 PECOS PAC ID: 5294129193 Enrollment ID: I20220218001386 |
| Provider Name | Carl Lucas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821758848 PECOS PAC ID: 8325416787 Enrollment ID: I20221116002309 |
| Provider Name | Nima Rezaie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457700759 PECOS PAC ID: 3072893833 Enrollment ID: I20230214000219 |
| Provider Name | Ryan P Ponton |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1043470685 PECOS PAC ID: 2860747631 Enrollment ID: I20230327002598 |
| Provider Name | Jared Cooke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104272574 PECOS PAC ID: 7416350046 Enrollment ID: I20230626001671 |
| Provider Name | Rachel M Faber |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1205356615 PECOS PAC ID: 9234511338 Enrollment ID: I20230628002701 |
| Provider Name | Megan K Via |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396439568 PECOS PAC ID: 8820459407 Enrollment ID: I20230728001982 |
| Provider Name | Colleen K Fralinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316670979 PECOS PAC ID: 3173906310 Enrollment ID: I20240307003729 |
| Provider Name | Katherine C Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841716891 PECOS PAC ID: 8224303805 Enrollment ID: I20240906001760 |
| Mailing Address | Practice Location Address |
|---|---|
| Vann-virginia Center For Orthopaedics Pc 230 Clearfield Ave, Suite 124, Virginia Beach, VA 23462-1832 Ph: (757) 321-3300 | Vann-virginia Center For Orthopaedics Pc 6160 Kempsville Cir, Suite 200 B, Norfolk, VA 23502-3933 Ph: (757) 321-3300 |