Organization
THOMAS G. POWELL, INC.
Active
Other names
Powell Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICHARD MONTEIRO SR. CP (CORP SEC. TREASURER)
(804) 649-9043
Entity
Organization
Contact information
Practice address
2034 DABNEY RD, SUITE C, RICHMOND, VA 23230-3361
(804) 649-9043
(804) 783-8212
Mailing address
2034 DABNEY RD, SUITE C, RICHMOND, VA 23230-3361
(804) 649-9043
(804) 783-8212
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004385092
AETNA
VA
05
—
009130004
—
VA
05
—
009190082
—
VA
01
—
062896
ANTHEM
VA
01
—
148785100
US DEPT OF LABOR
VA
01
—
2056388
CIGNA
VA
01
—
252386
MDPIA
VA
01
—
51951
OPTIMA
VA
01
—
63730
SOUTHERN HEALTH
VA
01
—
82-00022
UNITED HEALTHCARE
VA
01
—
87
CARENET
VA
01
—
9190082
VIRGINIA PREMEIR HP
VA
01
—
AN01
AMERICAN CHOICE HP
VA
Enumeration date
10/13/2005
Last updated
01/14/2020
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