NPIMap

Organization Active NPI

Hampton Roads Orthopaedic & Sports Medicine LLC

Doing business as HROSM of Williamsburg

  • Orthopaedic Surgery Physician
  • Williamsburg, VA
National Provider Identifier
1720357247
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
Doing business as
HROSM of Williamsburg
Practice address
5335 Discovery Park Blvd Ste B
Williamsburg, VA 23188-2696
Phone
(757) 253-0603
Fax
(757) 585-7645
NPI assigned
Dec 29, 2011
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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) 873-1554

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Interventional Pain Medicine Physician 208VP0014X
Podiatrist 213E00000X

Addresses

Primary practice location

5335 Discovery Park Blvd Ste B
Williamsburg, VA 23188-2696

Mailing address

730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562
Phone (757) 873-1554

Other identifiers 1

IdentifierTypeStateIssuer
150476300OtherVADEPARTMENT OF LABOR

Other names 1

  • HROSM of Williamsburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040621001022 VA Part B Supplier - Clinic/Group Practice 4688659097 Receives reassigned benefits from 29 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport News, VA; Suffolk, VA; Williamsburg, VA; Yorktown, VA
O20181219002315 VA DME Supplier - Physician - General Practice 4688659097 Practice locations: Williamsburg, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hampton Roads Orthopaedic

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1720357247",
    "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": "5335 DISCOVERY PARK BLVD STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882696",
            "telephone_number": "757-253-0603",
            "fax_number": "757-585-7645"
        }
    ],
    "practiceLocations": [],
    "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": "2011-12-29",
        "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": "757-873-1554"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "150476300",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HROSM of Williamsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.