Provider Type Icon

FAMILYORTHOPAEDICS AND SPORTS MEDICINE OF NORTHERN VIRGINIA P.C. NPI 1003969049


NPI Information

NPI: 1003969049
Provider Name: FAMILYORTHOPAEDICS AND SPORTS MEDICINE OF NORTHERN VIRGINIA P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2010 OPITZ BLVD STE C
WOODBRIDGE, VA
ZIP 22191
Phone: (703) 690-4992
Get Directions

FAMILYORTHOPAEDICS AND SPORTS MEDICINE OF NORTHERN VIRGINIA P.C. is a specialist in Woodbridge, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAMILYORTHOPAEDICS AND SPORTS MEDICINE OF NORTHERN VIRGINIA P.C. NPI is 1003969049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2010 OPITZ BLVD STE C
WOODBRIDGE, VA
ZIP 22191-359
Phone: (703) 690-4992

The provider's authorized official is Sharon H. Lowery .
The authorized official title is Administrator and has the following contact phone number (703) 801-1070.

The enumeration date for this NPI number is 1/21/2007 and was last updated on 10/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0101029792VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10627720001MEDICARE NSCVIRGINIA
2F34524MEDICARE UPINVIRGINIA
3B06410MEDICARE UPINVIRGINIA
4200000560MEDICARE ID-TYPE UNSPECIFIEDVIRGINIADR LOWERY
56325327MEDICAIDVIRGINIA
6202947487MEDICARE ID-TYPE UNSPECIFIEDVIRGINIADR. WARD
76400973MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.