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NORTHERN VIRGINIA MEDICAL ASSOCIATES NPI 1316165798


NPI Information

NPI: 1316165798
Provider Name: NORTHERN VIRGINIA MEDICAL ASSOCIATES
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 49D0670476

Address:
737 WALKER RD
SUITE 4
GREAT FALLS, VA
ZIP 22066
Phone: (703) 759-4537
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NORTHERN VIRGINIA MEDICAL ASSOCIATES is an adolescent medicine pediatrics in Great Falls, VA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NORTHERN VIRGINIA MEDICAL ASSOCIATES NPI is 1316165798. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

737 WALKER RD
SUITE 4
GREAT FALLS, VA
ZIP 22066-833
Phone: (703) 759-4537
Fax: (703) 759-4588

The provider's authorized official is Phyllis Williams .
The authorized official title is Office Manager and has the following contact phone number (703) 759-4537.

The CLIA number assigned to this NPI record is 49D0670476 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine0101029730VIRGINIAYes

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

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