Organization Active NPI

Mdics at Stonesprings, LLC

  • Hospitalist Physician
  • Dulles, VA
National Provider Identifier
1194100594
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
MDICS AT STONESPRINGS, LLC
Practice address
24440 Stone Springs Blvd
Dulles, VA 20166
Phone
(571) 349-4000
NPI assigned
Jul 27, 2015
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
MARYLAND INPATIENT CARE SPECIALISTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Douglas Mitchell, MDNPI 1083614481
Title
Medical Director
Phone
(443) 949-0814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

24440 Stone Springs Blvd
Dulles, VA 20166

Mailing address

6934 Aviation Blvd Ste B
Glen Burnie, MD 21061-2593
Phone (443) 949-0814

National Provider Directory

National Provider Directory
Part of
Adfinitas Health LLC

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1194100594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD STE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24440 STONE SPRINGS BLVD",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "20166",
            "telephone_number": "571-349-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDICS AT STONESPRINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND INPATIENT CARE SPECIALISTS, LLC",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-949-0814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dulles, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.