Metrohealth Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

METROHEALTH INTERNAL MEDICINE, PC

Practice address

450 Garrisonville Rd Ste 215
Stafford, VA 22554-1615

Phone

(540) 318-8167

Fax

(540) 318-8165

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Carolina M Hernandez, MDNPI 1073559969

Title

Physician Owner

Phone

(540) 371-4488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Carolina Maria Hernandez, MD

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1073559969

  Internal Medicine, VA

  Medicare reassignment NPD Authorized official
• Zena R Carter, MPH, MSHS, PA-C

  • Physician Assistant
  • Woodbridge, VA
  • NPI 1497065429

  VA

  Medicare reassignment

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1104097542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD STE 215",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541615",
            "telephone_number": "540-318-8167",
            "fax_number": "540-318-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD STE 215",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541615",
            "telephone_number": "540-318-8167",
            "fax_number": "540-318-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROHEALTH INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "540-371-4488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Supplies
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• Sarah Marie Mest, PA-C
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• Trista M Metzler, OTRL
• Michelle M. Campbell, M.D. PC
• Jessica Madison Middleton
• Mikyung Mikeal
• Logan Miller

• All providers in Stafford, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.