Active NPI
Peer Technologies PLLC
- Orthopaedic Surgery of the Spine Physician
- Fairfax, VA
National Provider Identifier
1124554860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 0101261171
- Legal business name
- PEER TECHNOLOGIES PLLC
- Practice address
- 4250 Chain Bridge Rd
Fairfax, VA 22030-4214 - Phone
- (703) 828-6579
- Fax
- (571) 458-7336
- NPI assigned
- May 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sohail K Mirza, M.D., M.P.H.
- Title
- Ceo
- Phone
- (603) 727-6647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 0101261171 | VA | Primary |
Addresses
Primary practice location
4250 Chain Bridge Rd
Fairfax, VA 22030-4214
Mailing address
4250 Chain Bridge Rd
Fairfax, VA 22030-4214
Phone (703) 828-6579
Other names 1
- PEER Clinic for Back Pain and Spine Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Fairfax, VA
- NPI 1063469393
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493596800000",
"number": "1124554860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 CHAIN BRIDGE RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304214",
"telephone_number": "703-828-6579",
"fax_number": "571-458-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 CHAIN BRIDGE RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304214",
"telephone_number": "703-828-6579",
"fax_number": "571-458-7336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEER TECHNOLOGIES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-01",
"last_updated": "2017-05-01",
"status": "A",
"authorized_official_last_name": "MIRZA",
"authorized_official_first_name": "SOHAIL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "603-727-6647",
"authorized_official_credential": "M.D., M.P.H."
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "VA",
"license": "0101261171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PEER Clinic for Back Pain and Spine Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.