Northern Virginia Neurology & Headache, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NORTHERN VIRGINIA NEUROLOGY & HEADACHE, PLLC

Practice address

7700 Little River Turnpike
Suite 605
Annadale, VA 22003-2400

Phone

(509) 572-5505

NPI assigned

Apr 1, 2016

Last updated

Apr 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jung Gook Lim, M.D.NPI 1598985434

Title

Physician-Owner

Phone

(509) 572-5505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Jung Gook Lim, M.D.

  • Neurology Physician
  • Fairfax, VA
  • NPI 1598985434

  DC

  Medicare reassignment NPD Authorized official
• Byung H. Park, M.D.

  • Neurology Physician
  • Racine, WI
  • NPI 1659380236
  NPD (past)

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1043673544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TURNPIKE",
            "address_2": "SUITE 605",
            "city": "ANNADALE",
            "state": "VA",
            "postal_code": "220032400",
            "telephone_number": "509-572-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TURNPIKE",
            "address_2": "SUITE 605",
            "city": "ANNADALE",
            "state": "VA",
            "postal_code": "220032400",
            "telephone_number": "509-572-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA NEUROLOGY & HEADACHE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JUNG GOOK",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "509-572-5505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossover Medical LLC (Crossover Medical Center)
• Harpers Wellness LLC
• Ross Stuart Silverstein, MD

• Neurology Physician in Annadale, VA
• Providers in Annadale, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.