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CLIFTON CENTREVILLE MEDICAL ASSOCIATES NPI 1912078619


NPI Information

NPI: 1912078619
Provider Name: CLIFTON CENTREVILLE MEDICAL ASSOCIATES

Doing Business As: CCMA

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 49D0950308

Address:
5895 TRINITY PKWY
SUITE 100
CENTREVILLE, VA
ZIP 20120
Phone: (703) 802-2004
Get Directions

CLIFTON CENTREVILLE MEDICAL ASSOCIATES is an internal medicine in Centreville, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CLIFTON CENTREVILLE MEDICAL ASSOCIATES NPI is 1912078619. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ccma.

The provider's business location address is:

5895 TRINITY PKWY
SUITE 100
CENTREVILLE, VA
ZIP 20120-995
Phone: (703) 802-2004
Fax: (703) 802-2113

The provider's authorized official is Alan R. Levinstone .
The authorized official title is Ceo and has the following contact phone number (703) 802-2004.

The CLIA number assigned to this NPI record is 49D0950308 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 9/21/2015.


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
1207Q00000XFamily Medicine0101237688VIRGINIANo
22084N0400XPsychiatry & NeurologyNeurology0101-049277VIRGINIANo
3207R00000XInternal Medicine0101-049277VIRGINIAYes

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
1H67976MEDICARE UPINVIRGINIA
2822561MEDICARE PINVIRGINIA
3C08418MEDICARE PINVIRGINIA
4CJ2257MEDICARE PINVIRGINIA
5J2257MEDICARE PINVIRGINIA
6B24369MEDICARE UPINVIRGINIA
7191304YW1MEDICARE UPINVIRGINIA
8VV1662BOTHERVIRGINIAMEDICARE GBA
9006078508MEDICAIDVIRGINIA
10191304C61MEDICARE PINVIRGINIA
11739642C61MEDICARE PINVIRGINIA

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: 5/5/2024

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