NPIMap

Organization Active NPI

Hospital Medicine Physicians of Prince William County LLC

  • Hospitalist Physician
  • Woodbridge, VA
National Provider Identifier
1285896555
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
HOSPITAL MEDICINE PHYSICIANS OF PRINCE WILLIAM COUNTY LLC
Practice address
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone
(703) 670-1313
NPI assigned
Jun 27, 2008
Organization subpart
Yes
Parent organization
HOSPITALISTS MANAGEMENT GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Ronnie L Jacobs, MD
Title
Sole Owner Member
Phone
70366701313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

2300 Opitz Blvd
Woodbridge, VA 22191-3311

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 497-8490

Other names 1

  • HMP of Prince William County LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hospitalist Medicine Physicians of Virginia LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1285896555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-497-8490",
            "fax_number": "330-492-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913311",
            "telephone_number": "703-670-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MEDICINE PHYSICIANS OF PRINCE WILLIAM COUNTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITALISTS MANAGEMENT GROUP",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE OWNER MEMBER",
        "authorized_official_telephone_number": "70366701313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMP of Prince William County LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.