| Organization Name: | ORTHOPAEDIC ASSOCIATES OF VIRGINIA, LTD |
| NPI Number: | 1003987819 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANE SUMMERLIN (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 2020 General Booth Blvd Suite 110 Virginia Beach |
| State: | VA US |
| Postal Code: | 234545875 |
| Phone Number: | 7574611688 |
| Fax Number: | 7574555865 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 01/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |