Old Dominion Orthopaedics and Sports Medicine, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

OLD DOMINION ORTHOPAEDICS AND SPORTS MEDICINE, PC

Doing business as

Northern Virginia Orthopaedic Specialist

Practice address

8644 Sudley Rd
Ste 308
Manassas, VA 20110-4417

Phone

(703) 369-9070

Fax

(703) 369-9240

NPI assigned

May 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Evelyn Gantt

Title

Billing Manager

Phone

(703) 369-9070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna-Marie E. Hammond, P.T. , A.T.C.

  • Physical Therapist
  • Manassas, VA
  • NPI 1144466798
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1073564951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8644 SUDLEY RD",
            "address_2": "STE. 308",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104425",
            "telephone_number": "703-369-9070",
            "fax_number": "703-369-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8644 SUDLEY RD",
            "address_2": "STE 308",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104417",
            "telephone_number": "703-369-9070",
            "fax_number": "703-369-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION ORTHOPAEDICS AND SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "GANTT",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "703-369-9070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Oheran, MED, BCBA, LBA
• Minuja Ojha, DMD
• Henrietta Okyere
• Roselyn Okyere
• Abimbola Faridah Olabiyi, MD
• Old Town Manassas Medical Center
• Ole Optical Laboratory Express LLC
• Gabrielle Olivier, MS, CCC-SLP
• Omega Health Services
• Sana Omer

• Orthopaedic Surgery Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.