Old Dominion Orthopaedic and Sports Medicine PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

OLD DOMINION ORTHOPAEDIC AND SPORTS MEDICINE PC

Practice address

15195 Heathcoat Blvd Ste 334
Haymarket, VA 20169-6244

Phone

(703) 369-9070

Fax

(703) 369-9240

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. William Hosick

Title

President/Director

Phone

(703) 369-9070

Specialties & licenses 1

Addresses

Other names 1

• Northern Virginia Orthopaedic Specialists Doing business as

Practitioners 1

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

• Christina Korngage, PA

  • Physician Assistant
  • Falls Church, VA
  • NPI 1821279431
  NPD (past)

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1821395435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8644 SUDLEY RD 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": "15195 HEATHCOAT BLVD STE 334",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201696244",
            "telephone_number": "703-369-9070",
            "fax_number": "703-369-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION ORTHOPAEDIC AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "HOSICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "703-369-9070",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Virginia Orthopaedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Virginia Orthopaedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Medical Group Inc
• Tracy Lynn O'Donnell
• Douglas Lee Obetz, D.C.
• Enoch Okine
• Regina Okine
• David Jose Olvera, MBA,MS,NRP,FP-C,CMTE
• Orthovirginia, Inc
• Arnold Osei-Kwaku
• Rachel Cornish Panosian, DPT
• Alexandra L Parillo

• Orthopaedic Surgery Physician in Haymarket, VA
• Providers in Haymarket, 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 Jan 5, 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.