Northern Virginia Orthopaedic Specialist

LBN: Old Dominion Orthopaedics And Sports Medicine, Pc
Northern Virginia Orthopaedic Specialist is an health care organization with primary practice located at 8644 Sudley Rd Ste 308, Manassas VA 20110-4417. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Old Dominion Orthopaedics And Sports Medicine, Pc can be contacted via phone (703) 369-9070, or through Gantt, Evelyn via phone (703) 369-9070.

Contact Information

Primary practice address
8644 Sudley Rd Ste 308 Manassas VA 20110-4417
Fax: (703) 369-9240
Website:
Authorized official contact:
Name: Gantt, Evelyn

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1073564951
LBN Legal business name Old Dominion Orthopaedics And Sports Medicine, Pc
DBA Doing business as Northern Virginia Orthopaedic Specialist
Authorized official Gantt, Evelyn
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Feb 2nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073564951 NPPES
Other CK5164 RAILROAD MEDICARE

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