Provider Demographics
NPI:1811944143
Name:HAMILTON, WILLIAM GEORGE (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GEORGE
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 ARMY NAVY DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-2905
Mailing Address - Country:US
Mailing Address - Phone:703-892-6500
Mailing Address - Fax:703-799-5989
Practice Address - Street 1:2501 PARKERS LN
Practice Address - Street 2:SUITE 200
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3209
Practice Address - Country:US
Practice Address - Phone:703-892-6500
Practice Address - Fax:703-799-5989
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232484207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
526884OtherNCPPO
148820100OtherDEPT OF LABOR ID
25090065OtherBLUE CROSS BLUE SHIELD ID
VA0007310OtherCHAMPUS ID
277586OtherANTHEM ID
7572399OtherAETNA PPO
2107167OtherMAMSI ID
4540894OtherCIGNA ID
3291800OtherAETNA HMO
200046191Medicare PIN
3291800OtherAETNA HMO
VAH70007Medicare UPIN