Organization Active NPI

Apple Medical Clinic LLC

  • Physical Medicine & Rehabilitation Physician
  • Winchester, VA
National Provider Identifier
1003225343
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
APPLE MEDICAL CLINIC LLC
Practice address
609 Cedar Creek Grade
Suite B
Winchester, VA 22601-2721
Phone
(540) 545-7891
Fax
(540) 545-7893
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael A PasternackNPI 1861565822
Title
Member
Phone
(540) 545-7891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

609 Cedar Creek Grade
Suite B
Winchester, VA 22601-2721

Mailing address

609 Cedar Creek Grade
Suite B
Winchester, VA 22601-2721
Phone (540) 545-7891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150403001038 VA Part B Supplier - Clinic/Group Practice 3476871377 Receives reassigned benefits from 2 practitioners
Practice locations: Winchester, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1003225343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CEDAR CREEK GRADE",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012721",
            "telephone_number": "540-545-7891",
            "fax_number": "540-545-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CEDAR CREEK GRADE",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012721",
            "telephone_number": "540-545-7891",
            "fax_number": "540-545-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "PASTERNACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "540-545-7891"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.