Active NPI
Hampton Roads Orthopaedic & Sports Medicine LLC
- Podiatrist
- Yorktown, VA
National Provider Identifier
1154724813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
- Practice address
- 4030 George Washington Mem Hwy Ste B
Yorktown, VA 23692-2619 - Phone
- (757) 898-5500
- Fax
- (757) 898-5500
- NPI assigned
- Oct 8, 2014
- Organization subpart
- Yes
- Parent organization
- HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Jackson
- Title
- Chief Information Officer
- Phone
- (757) 327-0103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
4030 George Washington Mem Hwy Ste B
Yorktown, VA 23692-2619
Mailing address
730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562
Phone (757) 873-1554
Other practice location 1
730 Thimble Shoals Blvd
Suite 130
Newport News, VA 23606-4562
Phone (757) 873-1554
Other names 1
- HROSM Foot and Ankle Center
National Provider Directory
National Provider Directory- Part of
- Hampton Roads Orthopaedic
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/bed3d35e-3090-48a3-846e-89c1619e8fbd/
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthopaedic Surgery Physician
- Newport News, VA
- NPI 1790719300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1154724813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 THIMBLE SHOALS BLVD STE 130",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064562",
"telephone_number": "757-873-1554",
"fax_number": "757-873-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 GEORGE WASHINGTON MEM HWY STE B",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236922619",
"telephone_number": "757-898-5500",
"fax_number": "757-898-5500"
}
],
"practiceLocations": [
{
"address_1": "730 Thimble Shoals Blvd",
"address_2": "Suite 130",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236064562",
"country_code": "US",
"telephone_number": "757-873-1554",
"fax_number": "757-873-3239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC",
"enumeration_date": "2014-10-08",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CHIEF INFORMATION OFFICER",
"authorized_official_telephone_number": "757-327-0103"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HROSM Foot and Ankle Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HROSM Foot and Ankle Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yorktown, VA
- Hamouri Cosmetic and Family Denistry, PLLC
- Hampton Physical Therapy Group LLC
- Hampton Roads Counseling Inc
- Hampton Roads Counseling Services Inc
- Hampton Roads Dental Group
- Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
- Mildred Helene Handley, PTA
- Happy Home Care LLC
- Shaquan Hargrove
- Nicole Harney, MT-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.