Altmed Medical Center, Inc

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

ALTMED MEDICAL CENTER, INC

Practice address

8551 Rixlew Lane
Suite 140
Manassas, VA 20109-4278

Phone

(703) 361-4357

Fax

(703) 361-0346

NPI assigned

Feb 27, 2009

Last updated

May 20, 2024By 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

Gerald K Lee, M.D., PHD.NPI 1184809030

Title

Medical Director

Phone

(703) 361-4357

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Gerald K Lee, M.D., PHD

  • Addiction Medicine (Internal Medicine) Physician
  • Manassas, VA
  • NPI 1184809030

  General Practice

  Medicare reassignment NPD Authorized official
• Getnet E Shawel, MD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1932252814
  NPD
• Simon Oanhuk Choi, FNP

  • Family Nurse Practitioner
  • Leesburg, VA
  • NPI 1013628783
  NPD (past)
• Fang Shuh Horng, M.D.

  • General Practice Physician
  • Luray, VA
  • NPI 1417134404
  NPD (past)
• Virginia Angeles Sampang, M.D.

  • Family Medicine Physician
  • State College, PA
  • NPI 1851451918
  NPD (past)

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1154561389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2041",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201080815",
            "telephone_number": "703-361-4357",
            "fax_number": "703-361-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 RIXLEW LANE",
            "address_2": "SUITE 140",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094278",
            "telephone_number": "703-361-4357",
            "fax_number": "703-361-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTMED MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-361-4357",
        "authorized_official_credential": "M.D., PHD."
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0054211",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed A Almamun, MD
• Alpha Medical Transportation Inc.
• Alphamed Express
• Zaynab Alsodani
• Christiana Althoff, M.A., CCC-SLP
• Altmed Medical Services LLC
• Carla Wildary Alvarado Flores, PA-C
• Jasmine Alvarado
• Michelle Marilyn Alvarado, FNP-BC
• Patrice A. Alvarado, PH.D.

• Addiction Medicine (Preventive Medicine) Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.