Mount Vernon Internal Medicine

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MOUNT VERNON INTERNAL MEDICINE

Practice address

6128 Brandon Ave
Suite 205
Springfield, VA 22150-2640

Phone

(703) 780-2800

NPI assigned

Mar 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Albert Herrera, M.D.

Title

President

Phone

(703) 780-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14544/brand/10/csg/1/fhir/r4

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1205135183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 BRANDON AVE",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502640",
            "telephone_number": "703-780-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 BRANDON AVE",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502640",
            "telephone_number": "703-780-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-780-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "198871",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Moskal
• Amy M Moskovitz, L.P.C.
• Peter Brooke Mosley, LCSW
• Motivational Strategies, Inc.
• Bukhtawar Moughal
• Joanne K Mudd, MSW
• Sophia Mufti, OD
• Haundray Muir
• Jacky Mukuna, FNP
• Renee F Mullen, PT

• Diagnostic Radiology Physician in Springfield, VA
• Providers in Springfield, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.