Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CJW SPORTS MEDICINE LLC
Active
Organization
CJW SPORTS MEDICINE LLC
Active
Other names
no dba CJW Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VP)
(804) 237-7760
Entity
Organization
Contact information
Practice address
5309 COMMONWEALTH PARKWAY, SUITE 100, RICHMOND, VA 23112
(804) 745-9000
(804) 330-7055
Mailing address
5309 COMMONWEALTH PARKWAY, SUITE 100, RICHMOND, VA 23112
(804) 745-9000
(804) 330-7055
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770572885
—
VA
Enumeration date
10/20/2005
Last updated
09/26/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up