Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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 is a Physician Assistant 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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