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LONESOME PINE ORTHOPAEDICS PLC NPI 1194771212


NPI Information

NPI: 1194771212
Provider Name: LONESOME PINE ORTHOPAEDICS, PLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 49D0232210

Address:
767 WOOD AVE E
BIG STONE GAP, VA
ZIP 24219
Phone: (276) 523-1006
Get Directions

LONESOME PINE ORTHOPAEDICS, PLC is an orthopaedic surgery in Big Stone Gap, VA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. LONESOME PINE ORTHOPAEDICS, PLC NPI is 1194771212. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

767 WOOD AVE E
BIG STONE GAP, VA
ZIP 24219-023
Phone: (276) 523-1006
Fax: (276) 523-5293

The provider's authorized official is Mark D Russ .
The authorized official title is Owner/ Provider and has the following contact phone number (276) 679-1006.

The CLIA number assigned to this NPI record is 49D0232210 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 3/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C09184MEDICARE PINVIRGINIA
265943912MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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