Provider Demographics
NPI:1902697790
Name:SPECIALIZED ORTHOPAEDIC SERVICES,INC.
Entity type:Organization
Organization Name:SPECIALIZED ORTHOPAEDIC SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:KURELICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-281-1200
Mailing Address - Street 1:307 MAPLE AVE W STE F
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4307
Mailing Address - Country:US
Mailing Address - Phone:703-405-5830
Mailing Address - Fax:
Practice Address - Street 1:7702 BACKLICK RD STE D
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2230
Practice Address - Country:US
Practice Address - Phone:703-281-1200
Practice Address - Fax:703-281-1201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPECIALIZED ORTHOPAEDIC SERVICES,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier