PRINCE WILLIAM ORTHOPAEDICS HAND SURGERY SPORTS MEDICINE CENTERLLC NPI 1043627862

NPI Information

NPI: 1043627862
Provider Name: PRINCE WILLIAM ORTHOPAEDICS HAND SURGERY SPORTS MEDICINE CENTER,LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
8525 ROLLING RD
SUITE 300
MANASSAS, VA
ZIP 20110
Phone: (703) 393-1667
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PRINCE WILLIAM ORTHOPAEDICS HAND SURGERY SPORTS MEDICINE CENTER,LLC is a medical physician assistant in Manassas, VA. PRINCE WILLIAM ORTHOPAEDICS HAND SURGERY SPORTS MEDICINE CENTER,LLC NPI is 1043627862. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8525 ROLLING RD
SUITE 300
MANASSAS, VA
ZIP 20110
Phone: (703) 393-1667
Fax: (703) 393-2517

The provider's authorized official is Richard Robinson .
The authorized official title is Coo and has the following contact phone number (301) 637-8712.

The enumeration date for this NPI number is 7/14/2014 and was last updated on 3/13/2020.

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
1	363A00000X	Physician Assistant		0110004667	VIRGINIA	No
2	363AS0400X	Physician Assistant	Surgical	0110004667	VIRGINIA	No
3	363AM0700X	Physician Assistant	Medical	0110004667	VIRGINIA	Yes

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

NPI Synchronization or Removal

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