Organization
HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
Active
Parent organization
HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
Other names
HROSM Interventional Spine & Sports Institute
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
732 THIMBLE SHOALS BLVD STE 803, NEWPORT NEWS, VA 23606-4218
(757) 873-1554
(757) 873-3239
Mailing address
730 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4562
(757) 933-8888
(757) 806-6320
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/16/2012
Last updated
05/14/2025
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