Healthcare Provider Details

I. General information

NPI: 1699690040
Provider Name (Legal Business Name): CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 LINDEN DR
WINCHESTER VA
22601-2818
US

IV. Provider business mailing address

PO BOX 79831
BALTIMORE MD
21279-0831
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-9252
  • Fax: 540-722-4514
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MYONG H CHOI
Title or Position: VP OF REVENUE CYCLE
Credential: CPC
Phone: 240-753-6263