Unknown Individual – Orthopaedic Surgery Physician, NPI 1801833777

Unknown Individual is a healthcare provider. based in North chesterfield, Virginia. specializing in Orthopaedic Surgery Physician. They hold a License No. 0101019800 (VA). The NPI Number for Unknown Individual is 1801833777

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1801833777
Phone
(804) 560-5595
Address
1115 BOULDERS PKWY
Deactivation Date
7 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
8045944610
Graduation Year
1969 (57 years ago)
PAC ID
3274423306
Group Practice PAC ID
0547157224
Professional Enrollment ID
I20040319001065

Contacts

Secure Messaging
jayres6901@direct.orthovirginia.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 1115, Boulders Parkway, Chesterfield Village, Chesterfield County, Virginia, 23225, United States

    SUITE 200

    NORTH CHESTERFIELD, VA 232254067

    Phone: (804) 560-5595

    Fax: (804) 560-9029

    Type: Mailing

  • Residence Inn Richmond West/Midlothian, 1350, Johnston Willis Drive, North Chesterfield, Midlothian, Chesterfield County, Virginia, 23235, United States

    SUITE A

    RICHMOND, VA 232354765

    Phone: (804) 379-8088

    Fax: (804) 794-6067

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23225)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYVA20610Aspiration and/or injection of large joint or joint capsule412213
ORTHOPEDIC SURGERYVA73562X-ray of knee, 3 views219146
ORTHOPEDIC SURGERYVA73630X-ray of foot, minimum of 3 views3523

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547157224View full group profile
NameSpecialtyState
HARRY C JR. ESCHENROEDER (MD)
-VA
MRS. BERKLEY PERKINS GREENFIELD (NP)
-VA
MS. REBECCA M ELLEN (PA)
Physician AssistantVA
CLARK GLOVER (PT, DPT)
Physical Therapist In Private PracticeVA
MR. HUGH WILLIAM JR. MCGEE (PT)
Physical Therapist In Private PracticeVA
SARAH M SIMOFF (DPT)
Physical Therapist In Private PracticeVA
ALLISON BEALE (PT, DPT)
-VA
BRANDON SETH POWERS (O.T)
-VA
COURTNEY HOTT TEIGELER (DPT)
-VA
CAITLIN LESKO
-VA

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1801833777.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Orthopaedic Surgery Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near North Chesterfield, Virginia may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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