NPIMap

Organization Active NPI

Medserv Medical Management Services LLC

Doing business as Medical and Vision Clinic

  • Health Service Clinic/Center
  • Manassas, VA
National Provider Identifier
1235518226
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0101246564 Issued in VA
Legal business name
MEDSERV MEDICAL MANAGEMENT SERVICES LLC
Doing business as
Medical and Vision Clinic
Practice address
8243 Shoppers SQ
Manassas, VA 20111-2176
Phone
(571) 208-1384
Fax
(571) 208-1542
NPI assigned
May 22, 2015
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Miguel E Orellana
Title
President
Phone
(571) 208-1384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 0101246564 VA Primary

Addresses

Primary practice location

8243 Shoppers SQ
Manassas, VA 20111-2176

Mailing address

8243 Shoppers SQ
Manassas, VA 20111-2176
Phone (571) 208-1384

Other names 1

  • Medical and Vision Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1235518226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8243 SHOPPERS SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112176",
            "telephone_number": "571-208-1384",
            "fax_number": "571-208-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8243 SHOPPERS SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112176",
            "telephone_number": "571-208-1384",
            "fax_number": "571-208-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSERV MEDICAL MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "ORELLANA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-208-1384"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0101246564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical and Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.