NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST
NPI 1073564951
Orthopaedic Surgery in Manassas, VA

Active since May 15, 2006
8644 SUDLEY RD, STE 308, MANASSAS, VA 20110(703) 369-9070(703) 369-9240 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, Jan 5, 2023 (2 updates tracked since 2023).

About Northern Virginia Orthopaedic Specialist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN VIRGINIA ORTHOPAEDIC SPECIALIST (NPI 1073564951) is a healthcare organization registered as an orthopaedic surgery in Manassas, Virginia and active in the NPI registry since May 2006. The organization lists Evelyn Gantt, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1073564951
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameOLD DOMINION ORTHOPAEDICS AND SPORTS MEDICINE, PC
Location Address8644 SUDLEY RD, STE 308Manassas, VA 20110-4417
Mailing Address8644 Sudley Rd, Ste. 308Manassas, VA 20110-4425 · (703) 369-9070 · Fax (703) 369-9240
Fax(703) 369-9240
Organization SubpartNo
Authorized OfficialEvelyn GanttBilling Manager · (703) 369-9070
Enumeration DateMay 15, 2006
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
NPI 1073564951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
8644 SUDLEY RD, Manassas, VA 20110

Other Names 1

Doing Business AsNorthern Virginia Orthopaedic Specialist

Other Identifiers 1

OtherCK5164Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
8644 SUDLEY RD, STE 117
MANASSAS, VA 20110
Audiologist
8644 SUDLEY RD, SUITE 114
MANASSAS, VA 20110
Counselor (Professional)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Physical Therapist
8644 SUDLEY RD, SUITE 310
MANASSAS, VA 20110
Psychiatry & Neurology (Psychiatry)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Orthopaedic Surgery (Sports Medicine)
8644 SUDLEY RD, SUITE 308
MANASSAS, VA 20110
Clinic/Center (Ambulatory Surgical)
8644 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Physical Medicine & Rehabilitation (Pain Medicine)
8644 SUDLEY RD, SUITE 117
MANASSAS, VA 20110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Dominion Orthopaedics And Sports Medicine, PC's NPI number?

The NPI number for Old Dominion Orthopaedics And Sports Medicine, PC is 1073564951. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is doing business as Northern Virginia Orthopaedic Specialist.

Where is Old Dominion Orthopaedics And Sports Medicine, PC located?

Old Dominion Orthopaedics And Sports Medicine, PC is located at 8644 Sudley Rd Ste 308, Manassas, VA 20110. The listed phone number is (703) 369-9070.

What is Old Dominion Orthopaedics And Sports Medicine, PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Old Dominion Orthopaedics And Sports Medicine, PC was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.