XYZ CLINIC NPI 1760633283

NPI Information

NPI: 1760633283
Provider Name: XYZ CLINIC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
17000 BREEZE LANE
FAIRFAX, VA
ZIP 22033
Phone: (703) 777-2222
Get Directions

XYZ CLINIC is a medical physician assistant in Fairfax, VA. XYZ CLINIC NPI is 1760633283. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17000 BREEZE LANE
FAIRFAX, VA
ZIP 22033
Phone: (703) 777-2222

The provider's authorized official is Jim Smith .
The authorized official title is Administrator and has the following contact phone number (703) 777-2222.

The enumeration date for this NPI number is 10/2/2008 and was last updated on 10/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	908832094382904	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	546546546	MEDICARE PIN	VIRGINIA
2	32423423	MEDICARE OSCAR/CERTIFICATION	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »