Washington Nerve Institute

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD31470 Issued in DC

Legal business name

WASHINGTON NERVE INSTITUTE

Practice address

7601 Lewinsville Rd
Suite 460
MC Lean, VA 22102-2814

Phone

(703) 992-9233

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ivica Ducic, MD

Title

Medical Doctor, PH.D

Phone

(703) 992-9233

Specialties & licenses 1

Addresses

Other names 1

• PLASTIC SURGERY NERVE & HEADACHE INSTITUTE Former legal business name

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1275959371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "address_2": "SUITE 460",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022814",
            "telephone_number": "703-992-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "address_2": "SUITE 460",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022814",
            "telephone_number": "703-992-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON NERVE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "DUCIC",
        "authorized_official_first_name": "IVICA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR,  PH.D",
        "authorized_official_telephone_number": "703-992-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD31470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLASTIC SURGERY NERVE & HEADACHE INSTITUTE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas L Walsh, MD
• David C Wang, DO
• Xiaoqi Wang
• Warby Parker Inc.
• Laura Harty Warden, LCSW
• Washingtonian Plastic Surgery
• Lena Wasielewski
• Friba Wasiq
• Wave Behavioral Health & Psychotherapy PC
• We Care Home Health Agency LLC

• Specialist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.