Nova Wound Care, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101240684 Issued in VA

Legal business name

NOVA WOUND CARE, P.C.

Practice address

3700 Joseph Siewick Dr
303
Fairfax, VA 22033-1744

Phone

(703) 664-8025

Fax

(703) 652-8470

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Timothy R Lapham, MDNPI 1437122488

Title

Owner/President

Phone

(703) 876-2710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TKR Group, Inc. Former legal business name

Tax ID family

Nova Wound Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nova Wound Care, P.C.

  • Medical Specialty Clinic/Center
  • Painter, VA
  • NPI 1255673943
  NPD tax ID

Practitioners 1

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

• Timothy Robert Lapham, MD

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Painter, VA
  • NPI 1437122488

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1063816155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BEULAH RD NE",
            "address_2": "100D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804749",
            "telephone_number": "703-652-4251",
            "fax_number": "703-652-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR",
            "address_2": "303",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331744",
            "telephone_number": "703-664-8025",
            "fax_number": "703-652-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA WOUND CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "LAPHAM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-876-2710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255673943",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TKR Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nova Psych & Wellness
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• Nova Spine & Injury Center, Inc.
• Nova Women's Healthcare Inc
• Anita Diguglielmo Novak, L.P.C.
• David J Novak, MD
• Novamed Associates PC
• Novara Recovery Center Virginia Drug & Alcohol Rehab
• Rebekah Novom

• Family Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.