Healthcare Provider Details

I. General information

NPI: 1184867525
Provider Name (Legal Business Name): HESS ORTHOPAEDIC CENTER & SPORTS MEDICINE, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2009
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4165 QUARLES CT
HARRISONBURG VA
22801-3576
US

IV. Provider business mailing address

4165 QUARLES CT
HARRISONBURG VA
22801-3576
US

V. Phone/Fax

Practice location:
  • Phone: 540-434-1664
  • Fax: 540-433-5931
Mailing address:
  • Phone: 540-434-1664
  • Fax: 540-433-5931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DOUGLAS H HENDREN
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 540-434-1664