NPIMap

Organization Active NPI

Petros Assefa Ayele

  • Primary Care Clinic/Center
  • Dumfries, VA
National Provider Identifier
1306188495
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101242641 Issued in VA
Legal business name
PETROS ASSEFA AYELE
Practice address
17601 Harpers Ferry Dr
Dumfries, VA 22025-2029
Phone
(703) 659-0651
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Petros Ayele, MD
Title
Physician
Phone
(703) 659-0651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101242641 VA Primary

Addresses

Primary practice location

17601 Harpers Ferry Dr
Dumfries, VA 22025-2029

Mailing address

17601 Harpers Ferry Dr
Dumfries, VA 22025-2029
Phone (703) 659-0651

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1306188495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 HARPERS FERRY DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252029",
            "telephone_number": "703-659-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 HARPERS FERRY DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252029",
            "telephone_number": "703-659-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETROS ASSEFA AYELE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "AYELE",
        "authorized_official_first_name": "PETROS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-659-0651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101242641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.