Organization Active NPI

Mid Atlantic Urgent Care LLC

  • Specialist
  • Arlington, VA
National Provider Identifier
1295026458
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID ATLANTIC URGENT CARE LLC
Practice address
3301 Wilson Blvd
Arlington, VA 22201-2228
Phone
(703) 243-6720
Fax
(703) 243-7503
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Robert P Holman, MD
Title
Medical Director
Phone
(703) 243-6720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3301 Wilson Blvd
Arlington, VA 22201-2228

Mailing address

3301 Wilson Blvd
Arlington, VA 22201-2228
Phone (703) 243-6720

National Provider Directory

National Provider Directory

Locations

3301 Wilson Blvd
Arlington, VA 22201
Phone (703) 243-6720

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1295026458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012228",
            "telephone_number": "703-243-6720",
            "fax_number": "703-243-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012228",
            "telephone_number": "703-243-6720",
            "fax_number": "703-243-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-243-6720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.