NPIMap

Organization Active NPI

Old Dominion Orthopaedic and Sports Medicine PC

Doing business as Northern Virginia Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Haymarket, VA
National Provider Identifier
1821395435
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OLD DOMINION ORTHOPAEDIC AND SPORTS MEDICINE PC
Doing business as
Northern Virginia Orthopaedic Specialists
Practice address
15195 Heathcoat Blvd Ste 334
Haymarket, VA 20169-6244
Phone
(703) 369-9070
Fax
(703) 369-9240
NPI assigned
Feb 16, 2011
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Dr. William HosickNPI 1922051119
Title
President/Director
Phone
(703) 369-9070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

15195 Heathcoat Blvd Ste 334
Haymarket, VA 20169-6244

Mailing address

8644 Sudley Rd Ste 308
Manassas, VA 20110-4425
Phone (703) 369-9070

Other names 1

  • Northern Virginia Orthopaedic Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

8644 Sudley Rd
Ste 308
Manassas, VA 20110
Phone (571) 292-9910

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": "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"
        }
    ]
}

Other providers in Haymarket, VA

Sources for this page

  • 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.