Individual
DR. MICHAEL SEAN ANTONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20041 RIVERSIDE COMMONS PLAZA, ASHBURN, VA 20147
(703) 466-0447
(703) 810-5313
Mailing address
P. O. BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 215-3063
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO034203
DC
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
0102204828
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00858308
RAILROAD MEDICARE
DC
Enumeration date
06/01/2006
Last updated
04/13/2023
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