Active NPI
Sherwood Hall Orthopedics & Sports Medicine, LTD
- Specialist
- Alexandria, VA
National Provider Identifier
1497887343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101058134
- Legal business name
- SHERWOOD HALL ORTHOPEDICS & SPORTS MEDICINE, LTD
- Practice address
- 2616 Sherwood Hall LN
#104
Alexandria, VA 22306-3100 - Phone
- (703) 780-3305
- Fax
- (703) 780-6663
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hugo A Davalos
- Title
- Owner
- Phone
- (703) 780-3305
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101025745 | VA | |
| Specialist | 174400000X | 0101058134 | VA | Primary |
Addresses
Primary practice location
2616 Sherwood Hall LN
#104
Alexandria, VA 22306-3100
Mailing address
2616 Sherwood Hall LN
#104
Alexandria, VA 22306-3100
Phone (703) 780-3305
National Provider Directory
National Provider DirectoryLocations
2616 Sherwood Hall Ln
#104104
Alexandria, VA 22306
Phone (703) 780-3305
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Alexandria, VA
- NPI 1336191725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1497887343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 SHERWOOD HALL LN",
"address_2": "#104",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063100",
"telephone_number": "703-780-3305",
"fax_number": "703-780-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 SHERWOOD HALL LN",
"address_2": "#104",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063100",
"telephone_number": "703-780-3305",
"fax_number": "703-780-6663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERWOOD HALL ORTHOPEDICS & SPORTS MEDICINE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "DAVALOS",
"authorized_official_first_name": "HUGO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-780-3305",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101025745",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101058134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.