Organization
XYZ CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SMITH (ADMINISTRATOR)
(703) 777-2222
Entity
Organization
Contact information
Practice address
17000 BREEZE LANE, FAIRFAX, VA 22033
(703) 777-2222
Mailing address
17000 BREEZE LANE, FAIRFAX, VA 22033
(703) 777-2222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
908832094382904
VA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up