Provider Demographics
NPI:1922051119
Name:HOSICK, WILLIAM BARTLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BARTLEY
Last Name:HOSICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:W. BARTLEY
Other - Middle Name:
Other - Last Name:HOSICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 715868
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19171-5868
Mailing Address - Country:US
Mailing Address - Phone:804-915-1910
Mailing Address - Fax:804-968-1803
Practice Address - Street 1:8644 SUDLEY RD
Practice Address - Street 2:SUITE 308
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4400
Practice Address - Country:US
Practice Address - Phone:703-369-9070
Practice Address - Fax:703-369-9240
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101048098207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
200023291OtherRAILROAD MEDICARE
05170001OtherCAREFIRST BLUECHOICE
176909OtherHEALTHKEEPERS
314817OtherMAMSI LIFE & HEALTH
176909OtherANTHEM
287790OtherAMERIGROUP
4380676OtherAETNA HMO
544951OtherAETNA PPO
VA6403239Medicaid
719404007OtherCIGNA