District Endocrine LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DISTRICT ENDOCRINE LLC

Doing business as

District Endocrine

Practice address

14908 Jefferson Davis Hwy
Woodbridge, VA 22191-4016

Phone

(330) 999-1907

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Anis Rehman, MD

Title

Ceo and Medical Director

Phone

(703) 214-9773

Specialties & licenses 1

Addresses

Other names 1

• District Endocrine Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1184213449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14908 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14908 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016",
            "telephone_number": "330-999-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT ENDOCRINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CEO AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-214-9773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.districtendocrine.com",
            "affiliation": "N",
            "address_1": "14908 Jefferson Davis Hwy",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221914016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "District Endocrine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "District Endocrine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endocrinology, Diabetes & Metabolism Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.