Provider Demographics
NPI:1174547137
Name:ORTHOPAEDIC SURGERY CENTERS,PC II
Entity type:Organization
Organization Name:ORTHOPAEDIC SURGERY CENTERS,PC II
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:GRIESI
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:757-673-5689
Mailing Address - Street 1:3300 HIGH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3321
Mailing Address - Country:US
Mailing Address - Phone:757-673-5689
Mailing Address - Fax:757-673-5678
Practice Address - Street 1:3300 HIGH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3321
Practice Address - Country:US
Practice Address - Phone:757-673-5689
Practice Address - Fax:757-673-5678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty