Active NPI
Tysons Therapeutics PLLC
- Clinic/Center
- Vienna, VA
National Provider Identifier
1295886034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0101056335
- Legal business name
- TYSONS THERAPEUTICS PLLC
- Practice address
- 8320 Old Courthouse Rd
Suite 400
Vienna, VA 22182-3831 - Phone
- (703) 226-4005
- Fax
- (703) 226-4020
- NPI assigned
- Jan 16, 2007
- Last updated
- Mar 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heidi Jo Crayton, M.D.
- Title
- Medical Director
- Phone
- (703) 226-4005
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0101056335 | VA | Primary |
Addresses
Primary practice location
8320 Old Courthouse Rd
Suite 400
Vienna, VA 22182-3831
Mailing address
8320 Old Courthouse Rd
Suite 400
Vienna, VA 22182-3831
Phone (703) 226-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Neurology Physician
- Vienna, VA
- NPI 1609212141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1295886034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 OLD COURTHOUSE RD",
"address_2": "SUITE 400",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823831",
"telephone_number": "703-226-4005",
"fax_number": "703-226-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8320 OLD COURTHOUSE RD",
"address_2": "SUITE 400",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823831",
"telephone_number": "703-226-4005",
"fax_number": "703-226-4020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYSONS THERAPEUTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "CRAYTON",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "703-226-4005",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "VA",
"license": "0101056335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
- Tysons Dental Spa (Tysons Dental Spa LLC)
- Tysons Gynecology and Menopause Center LLC
- Tysons Medical Group
- Tysons Modern Dentistry, PC
- Tysons Pharmacy Inc (Tysons Pharmacy)
- Oganya Anita Udenyi, PHD, RD, LDN
- Ufirst Planners LLC (UFirst Homecare)
- Christina G. Ulen, MD
- Ultimate Community Health Services LLC (Uchs)
- Umc Holdings, Inc (Inova Urgent Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.