NPIMap

Organization Active NPI

Integrative Wellness Specialists

Doing business as Bodylogic MD of Aldie

  • Clinic/Center
  • Aldie, VA
National Provider Identifier
1245774884
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0101245474 Issued in VA
Legal business name
INTEGRATIVE WELLNESS SPECIALISTS
Doing business as
Bodylogic MD of Aldie
Practice address
39070 John Mosby Hwy
Aldie, VA 20105-2032
Phone
(703) 327-5800
NPI assigned
Dec 16, 2016
Last updated
Dec 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Andrew Heyman, MDNPI 1790803153
Title
Owner
Phone
(703) 327-2434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0101245474 VA Primary

Addresses

Primary practice location

39070 John Mosby Hwy
Aldie, VA 20105-2032

Mailing address

39070 John Mosby Hwy
PO Box 208
Aldie, VA 20105-2032
Phone (703) 327-5800

Other names 1

  • Bodylogic MD of Aldie Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1245774884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39070 JOHN MOSBY HWY",
            "address_2": "PO BOX 208",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201052032",
            "telephone_number": "703-327-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39070 JOHN MOSBY HWY",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201052032",
            "telephone_number": "703-327-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "HEYMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-327-2434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101245474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodylogic MD of Aldie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aldie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.