Provider Demographics
NPI:1144263666
Name:IRBY, EDWARD CLAIBORNE JR (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:CLAIBORNE
Last Name:IRBY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:7650 E PARHAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4373
Practice Address - Country:US
Practice Address - Phone:804-288-3136
Practice Address - Fax:804-288-4538
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041008207X00000X
VA101041008207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA087486OtherANTHEM HEALTHKEEPERS
VA0900013OtherUNITED HEALTHCARE
VA200007626OtherRAILROAD MEDICARE
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA006461433Medicaid
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA0536782OtherAETNA HMO
VA285558OtherSOUTHERN HEALTH
VA540885859OtherFIRST HEALTH/CCN
VA540885859OtherCIGNA
VA2138277OtherUNITED HEALTHCARE MAMSI
VA386533OtherANTHEM WEST END OPERATORY
VA540885859OtherCOMPMANAGEMENT
VA1144263666Medicaid
VA31168OtherSH CARENET
VA46422OtherOPTIMA HEALTH
VA540885859OtherFOCUS
VA540885859OtherCORVEL
VA0536782OtherAETNA HMO
VAC17306Medicare UPIN
VA1144263666Medicaid