# ONE MEDSTAR PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417571530
- **Authorized official:** STEPHANIE SCHNEIDER (VP)
- **Authorized official phone:** (703) 558-1403

## Contact information

- **Practice address:** 1001 G ST NW, STE 200 EAST, WASHINGTON, DC 20001-4545
- **Practice address phone:** (202) 660-0005
- **Practice address fax:** (202) 660-0025
- **Mailing address:** PO BOX 412829, BOSTON, MA 02241-2829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 06/04/2020
- **Last updated:** 06/04/2020