Organization Active NPI

Sherwood Hall Orthopedics & Sports Medicine, LTD

  • Specialist
  • Alexandria, VA
National Provider Identifier
1497887343
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101058134 Issued in VA
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

Updated by the provider on Aug 25, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 0101025745 VA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.