NPIMap

Organization Active NPI

Virginia Medical Acute Care PC

  • Urgent Care Clinic/Center
  • Springfield, VA
National Provider Identifier
1356432207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
0101027333 Issued in VA
Legal business name
VIRGINIA MEDICAL ACUTE CARE PC
Practice address
5501 Backlick Rd
Suite 105
Springfield, VA 22151-3933
Phone
(703) 642-2273
Fax
(703) 564-6544
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carolyn J Granderson
Title
Administrator
Phone
(703) 642-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 0101027333 VA Primary

Addresses

Primary practice location

5501 Backlick Rd
Suite 105
Springfield, VA 22151-3933

Mailing address

5501 Backlick Rd
Suite 105
Springfield, VA 22151-3933
Phone (703) 642-2273

Other identifiers 1

IdentifierTypeStateIssuer
1336247261OtherVANPI # DR. MARK DAVIS

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3308/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356432207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD",
            "address_2": "SUITE 105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513933",
            "telephone_number": "703-642-2273",
            "fax_number": "703-564-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD",
            "address_2": "SUITE 105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513933",
            "telephone_number": "703-642-2273",
            "fax_number": "703-564-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MEDICAL ACUTE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANDERSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-642-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": "0101027333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # DR. MARK DAVIS",
            "identifier": "1336247261",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, 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.

Verify at the official NPI Registry.