Internal Medicine Practice, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101038420 Issued in VA

Legal business name

INTERNAL MEDICINE PRACTICE, P.C.

Practice address

8233 Old Courthouse Rd
Suite 170
Vienna, VA 22182-3816

Phone

(703) 556-9318

Fax

(703) 448-8839

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Tirado, M.D.

Title

Physician

Phone

(703) 556-9318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neda Motameni, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1184887895

  DC

  Medicare reassignment

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1013121508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 OLD COURTHOUSE RD",
            "address_2": "SUITE 170",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823816",
            "telephone_number": "703-556-9318",
            "fax_number": "703-448-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8233 OLD COURTHOUSE RD",
            "address_2": "SUITE 170",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823816",
            "telephone_number": "703-556-9318",
            "fax_number": "703-448-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "TIRADO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-556-9318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101038420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Therapy Services
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• Integrity Care Services LLC
• Integrity Health of Virginia, LLC
• Elizabeth Amelia Intermill, CFNP
• Iris Dental Care
• Lizmar Irizarry-Sanabria
• Island Childrens Dentistry PLLC (Island Childrens Dentistry)
• Maria Gema Island, DDS
• Naiem Tony Issa, M.D., PH.D.

• Primary Care Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.