Organization Active NPI

Springfield Medical Clinic

  • Family Medicine Physician
  • Springfield, VA
National Provider Identifier
1043336639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101038129 Issued in VA
Legal business name
SPRINGFIELD MEDICAL CLINIC
Practice address
6365 Rolling Mill PL
Suite 103
Springfield, VA 22152-2353
Phone
(703) 569-7420
Fax
(301) 934-9321
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rosario C Ferrer, MD
Title
Owner
Phone
(703) 569-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101038129 VA Primary

Addresses

Primary practice location

6365 Rolling Mill PL
Suite 103
Springfield, VA 22152-2353

Mailing address

6365 Rolling Mill PL
Suite 103
Springfield, VA 22152-2353
Phone (703) 569-7420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043336639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 ROLLING MILL PL",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522353",
            "telephone_number": "703-569-7420",
            "fax_number": "301-934-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 ROLLING MILL PL",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522353",
            "telephone_number": "703-569-7420",
            "fax_number": "301-934-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-569-7420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101038129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.