Pohick Creek Emergency Physicians, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

POHICK CREEK EMERGENCY PHYSICIANS, LLC

Practice address

9455 Lorton Market St
Lorton, VA 22079-1962

Phone

(703) 523-9601

Fax

(703) 337-4980

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Thom Mayer, MD

Title

President/ Owner

Phone

(215) 442-5046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1003254665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WITMER RD",
            "address_2": "SUITE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442291",
            "telephone_number": "215-442-5046",
            "fax_number": "215-957-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 LORTON MARKET ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791962",
            "telephone_number": "703-523-9601",
            "fax_number": "703-337-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POHICK CREEK EMERGENCY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "THOM",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "215-442-5046",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.