MEDICARE: THE ORTHOPEDIC INSTITUTE OF VIRGINIA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1336536424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ORTHOPEDIC INSTITUTE OF VIRGINIA PLLC

Provider Business Mailing Address
First Line	:	7858 SHRADER RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23294-4222
Country	:	US
Telephone Number	:	804-270-1305
Fax Number	:	804-273-9294

Provider Business Practice Location Address
First Line	:	8901 THREE CHOPT RD STE D
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-4643
Country	:	US
Telephone Number	:	804-270-1305
Fax Number	:	804-273-9294

Authorized Official
Title or Position	:	OWNER
Name	:	KENNETH R ZASLAV
Credential	:	M.D.
Telephone Number	:	804-270-1305

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	04/16/2015

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