PRINCE WILLIAM CARDIOLOGY ASSOCIATES NPI 1578624102

NPI Information

NPI: 1578624102
Provider Name: PRINCE WILLIAM CARDIOLOGY ASSOCIATES
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
8569B SUDLEY ROAD
MANASSAS, VA
ZIP 20110
Phone: (703) 369-5959
Get Directions

PRINCE WILLIAM CARDIOLOGY ASSOCIATES is a cardiovascular disease internal medicine in Manassas, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PRINCE WILLIAM CARDIOLOGY ASSOCIATES NPI is 1578624102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8569B SUDLEY ROAD
MANASSAS, VA
ZIP 20110
Phone: (703) 369-5959

The provider's authorized official is Jane M Coppage .
The authorized official title is Practice Manager and has the following contact phone number (703) 369-5959.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/2/2010.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	0002200929	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	1841331840	MEDICARE UPIN
2	B60044	MEDICARE UPIN
3	1821076142	MEDICARE UPIN
4	C01650	MEDICARE PIN	VIRGINIA
5	G01110	MEDICARE PIN	DISTRICT OF COLUMBIA
6	E21762	MEDICARE UPIN
7	C01650	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE GROUP NUMBER
8	I41323	MEDICARE UPIN
9	H25487	MEDICARE UPIN

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

NPI Synchronization or Removal

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