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SPINE & INJURY CENTER OF FREDERICKSBURG PC NPI 1437344041


NPI Information

NPI: 1437344041
Provider Name: SPINE & INJURY CENTER OF FREDERICKSBURG PC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
4500 PLANK RD
SUITE 1022
FREDERICKSBURG, VA
ZIP 22407
Phone: (540) 785-0200
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SPINE & INJURY CENTER OF FREDERICKSBURG PC is a preferred provider organization in Fredericksburg, VA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. SPINE & INJURY CENTER OF FREDERICKSBURG PC NPI is 1437344041. The provider is registered as an organization entity type.

The provider's business location address is:

4500 PLANK RD
SUITE 1022
FREDERICKSBURG, VA
ZIP 22407-120
Phone: (540) 785-0200
Fax: (540) 785-0660

The provider's authorized official is Andrew Lewis Reno .
The authorized official title is Clinic Director and has the following contact phone number (540) 785-0200.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 10/26/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization0104555960VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12101714OTHERVIRGINIAALLIANCE
22101714OTHERVIRGINIAMAMSI
3350001199MEDICARE PINVIRGINIA
4434855OTHERVIRGINIAANTHEM
5S974-0001OTHERVIRGINIACAREFIRST
650576OTHERVIRGINIANVPPO
72740701OTHERVIRGINIAAETNA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.