Active NPI
Associates in Otolaryngology Head and Neck Surgery
- Otolaryngology Physician
- Alexandria, VA
National Provider Identifier
1306939699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- ASSOCIATES IN OTOLARYNGOLOGY HEAD AND NECK SURGERY
- Practice address
- 6355 Walker LN
Suite 411
Alexandria, VA 22310-3245 - Phone
- (703) 313-0373
- Fax
- (703) 719-0400
- NPI assigned
- Oct 1, 2006
- 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
- Michael Jay Nathan, M.D.
- Title
- Doctor
- Phone
- (703) 313-0373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
6355 Walker LN
Suite 411
Alexandria, VA 22310-3245
Mailing address
6355 Walker LN
Suite 411
Alexandria, VA 22310-3245
Phone (703) 313-0373
National Provider Directory
National Provider DirectoryLocations
6355 Walker Ln
Ste 111
Alexandria, VA 22310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306939699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 WALKER LN",
"address_2": "SUITE 411",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103245",
"telephone_number": "703-313-0373",
"fax_number": "703-719-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN",
"address_2": "SUITE 411",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103245",
"telephone_number": "703-313-0373",
"fax_number": "703-719-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN OTOLARYNGOLOGY HEAD AND NECK SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NATHAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "703-313-0373",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.