Prolific Ventures LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

J4210 Issued in TX

Legal business name

PROLIFIC VENTURES LLC

Doing business as

Good Health Medical

Practice address

6426 Crossroads Dr
Falls Church, VA 22044

Phone

(888) 936-0808

Fax

(877) 337-3766

NPI assigned

Oct 13, 2008

Last updated

Jul 9, 2012By 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

Dr. Thi D. Hoang, MDNPI 1194760033

Title

Partner

Phone

(703) 362-7574

Specialties & licenses 1

Addresses

Other names 1

• GOOD HEALTH MEDICAL Doing business as

Practitioners 1

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.

• Thi Diem Hoang, MD

  • Hospitalist Physician
  • Falls Church, VA
  • NPI 1194760033
  NPD (past) Authorized official

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1083866867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5055",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220449055",
            "telephone_number": "888-936-0808",
            "fax_number": "877-337-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 CROSSROADS DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22044",
            "telephone_number": "888-936-0808",
            "fax_number": "877-337-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "THI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "703-362-7574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD HEALTH MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.