Individual
HOMER E KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8308 OLD COURTHOUSE RD, SUITE A, VIENNA, VA 22182-3863
(703) 790-9440
(703) 790-5359
Mailing address
8308 OLD COURTHOUSE RD, SUITE A, VIENNA, VA 22182-3863
(703) 790-9440
(703) 790-5359
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23301
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00455
UNITED HEALTHCARE PIN
VA
01
—
0785845
AETNA HMO
VA
01
—
088399
ANTHEM PPO/HEALTHKEEPERS
VA
01
—
10316
UNICARE
VA
01
—
1463350004
CIGNA PIN
VA
01
—
27007
OPTIMUMCHOICE/MAMSI/MDIPA
VA
01
—
4087
CAREFIRST PPO/ BLUECHOICE
VA
01
—
4087376
AETNA PPO
VA
05
—
6260730
—
VA
01
—
99214
GUARDIAN
VA
Enumeration date
07/06/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us