The Montgomery Medical Clinic

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

THE MONTGOMERY MEDICAL CLINIC

Doing business as

Capitol Travel Medicine

Practice address

3800 Fairfax Dr Ste 2
Arlington, VA 22203-1703

Phone

(703) 351-5100

Fax

(703) 351-1445

NPI assigned

Feb 1, 2021

Organization subpart

Yes

Parent organization

MONTGOMERY MEDICAL CLINICAs reported in NPPES

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

Authorized official

Name

Mrs. Tanya Chadwell, CFNP

Title

Clinical Director

Phone

(703) 351-5100

Specialties & licenses 1

Addresses

Other names 1

• Capitol Travel Medicine Doing business as

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

CLIA laboratory certificates

Part of

The Montgomery Medical Clinic

Locations

Practitioners 1

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

• Tanya Helen Deboer-Chadwell, NP

  • Family Nurse Practitioner
  • Arlington, VA
  • NPI 1457590432
  NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1164013256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR STE 2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031703",
            "telephone_number": "703-351-5100",
            "fax_number": "703-351-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR STE 2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031703",
            "telephone_number": "703-351-5100",
            "fax_number": "703-351-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MONTGOMERY MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY MEDICAL CLINIC",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "CHADWELL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "703-351-5100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Travel Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health & General Preventive Medicine Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Public Health & General Preventive Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.