Organization
COLONIAL ORTHOPAEDICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BAILEY (CREDENTIALING SPECIALIST)
(804) 571-5106
Entity
Organization
Contact information
Practice address
325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Mailing address
325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101036726
VA
207XS0106X
Orthopaedic Hand Surgery Physician
0101226595
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0101231604
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
0101237849
VA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
0101045456
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101052925
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010190037
—
VA
05
—
010190096
—
VA
05
—
010190606
—
VA
05
—
010193419
—
VA
05
—
010194911
—
VA
05
—
010195063
—
VA
01
—
180887
ANTHEM-DHILLON
VA
01
—
180888
ANTHEM-KALLURI
VA
01
—
180889
ANTHEM-MARQUEEN
VA
01
—
180890
ANTHEM-PRAKASH
VA
01
—
180891
ANTHEM-SARAIYA
VA
01
—
180892
ANTHEM-SRIVASTAVA
VA
Enumeration date
06/24/2006
Last updated
06/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us