MEDICARE: ADVANCED ORTHOPAEDIC CENTERS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207XP3100X	Pediatric Orthopaedic Surgery Physician
2	207XS0106X	Orthopaedic Hand Surgery Physician
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
4	207XS0117X	Orthopaedic Surgery of the Spine Physician
5	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1932528536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ORTHOPAEDIC CENTERS

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

Provider Business Practice Location Address
First Line	:	107 DMV DR
Second Line	:
City	:	KILMARNOCK
State	:	VA
Zip	:	22482-3843
Country	:	US
Telephone Number	:	804-270-1305
Fax Number	:	804-273-9294

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MICHAEL H LOWERY
Credential	:
Telephone Number	:	804-270-1305

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	04/10/2014

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