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Organization

HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC

Active
Parent organization
HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
Other names
HROSM of Williamsburg
Organization subpart
Yes

Provider details

NPI number
Legal business name
HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
Authorized official
WENDY JACKSON (CHIEF INFORMATION OFFICER)
(757) 873-1554
Entity
Organization

Contact information

Practice address
5335 DISCOVERY PARK BLVD STE B, WILLIAMSBURG, VA 23188-2696
(757) 253-0603
(757) 585-7645
Mailing address
730 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
(757) 873-3239

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
208VP0014X
Interventional Pain Medicine Physician
213E00000X
Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150476300
DEPARTMENT OF LABOR
VA
Enumeration date
12/29/2011
Last updated
02/16/2026
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