Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Prince William Orthopaedics Hand Surgery Sports Medicine Center, LLC

Organization Physician Assistant · NPI 1043627862

Prince William Orthopaedics Hand Surgery Sports Medicine Center, LLC provides Physician Assistant services in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8525 Rolling Rd Ste 300
Manassas, VA 20110
Phone: (703) 393-1667
Fax: (703) 393-2517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110004667 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0110004667 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0110004667 (VA)

Record details

NPI number1043627862
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationA Divison of Centers for Advanced Orthopaedics
Authorized official Richard Robinson — Coo · (301) 637-8712
NPI enumeratedJuly 14, 2014
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing address6707 Democracy Blvd Ste 504, Bethesda, MD 20817-1166

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