Old Dominion Medical Center, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLD DOMINION MEDICAL CENTER, P.C.

Practice address

6715 Whittier Avenue
Suite 100
McLean, VA 22101

Phone

(703) 356-5700

Fax

(703) 448-8211

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Allen Bernard Horne, M.D.

Title

Physician Owner

Phone

(703) 356-5700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1104990167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 WHITTIER AVENUE",
            "address_2": "SUITE 100",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-356-5700",
            "fax_number": "703-448-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 WHITTIER AVENUE",
            "address_2": "SUITE 100",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-356-5700",
            "fax_number": "703-448-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "703-356-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Gana Nubila, PHARM D
• Old Dominion Chiropractic, Inc.
• Jerry Anthony Omelon, MD
• Chukwudi Luke Onwuka
• Outpatient Anesthesia Solutions PC
• Kimberlee H Overdeck, MD
• Susan M Pan, MSW

• Family Medicine Physician in McLean, VA
• Providers in McLean, 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 Feb 4, 2016; 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.