NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST – Orthopaedic Surgery Physician, NPI 1073564951

NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST is a healthcare provider. based in Manassas, Virginia. specializing in Orthopaedic Surgery Physician. The NPI Number for NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST is 1073564951

Main info

Organization
Name
NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST
NPI
1073564951
Phone
(703) 369-9070
Address
8644 SUDLEY RD
Authorized Official
MRS. EVELYN GANTT BILLING MANAGER
Enumeration Date
15 May 2006
Last Update Date
2 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST

  • Prince William Surgery Center, 8644, Sudley Road, Country Place, Manassas, Manassas (city), Virginia, 20110, United States

    STE. 308

    MANASSAS, VA 201104425

    Phone: (703) 369-9070

    Fax: (703) 369-9240

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20110)

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Reviews

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Frequently asked questions

How is NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST identified in CMS data?
CMS-hosted NPPES data lists NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST with NPI 1073564951.
Is NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST still practicing?
NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST is currently listed as active in the public NPI registry.
What is NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST best known for clinically?
Directory data describes NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST on a map?
Expect Manassas, Virginia as a primary anchor for NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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