Joshua Ryan Detrick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003713 Issued in VA

Practice address

6355 Walker Lane
Ste 202
Alexandria, VA 22310-3257

Phone

(703) 810-5210

Fax

(703) 810-5418

NPI assigned

Jun 18, 2008

Last updated

Jul 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Merit-based Incentive Payment System (MIPS)

Final score

90.85 of 100Reported as group

Quality

90.74

Promoting interoperability

100

Improvement activities

40

Cost

78.74

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdetrick6426@direct.orthovirginia.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthovirginia Inc.

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1588066740

  DC

  Medicare reassignment Care Compare group
• Orthovirginia, Inc

  • Multi-Specialty Clinic/Center
  • Arlington, VA
  • NPI 1164176756
  NPD
• Orthovirginia, Inc

  • Physical Medicine & Rehabilitation Physician
  • Arlington, VA
  • NPI 1376411413
  NPD
• Commonwealth Orthopaedics & Rehabilitation, PC

  • Orthopaedic Surgery Physician
  • Fairfax, VA
  • NPI 1295829893
  NPD (past)
• Orthovirginia, Inc.

  dba West End Orthopaedic Clinic, Inc

  • Multi-Specialty Clinic/Center
  • North Chesterfield, VA
  • NPI 1265470645
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inova Health Care Services

  dba Inova Alexandria Hospital

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1255684460
  Care Compare affiliation

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1366603797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755420",
            "telephone_number": "703-383-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LANE",
            "address_2": "STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103257",
            "telephone_number": "703-810-5210",
            "fax_number": "703-810-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRICK",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01389",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Dessalegn
• Elshaday Dessie
• Daniel Destefano, FNP-BC
• Destiny's Home Care Business LLC
• Destiny's Home Care Business LLC
• Suzanne Devine, CRNA
• Devoted Care LLC
• Dawn R Devries, MPA, CTRS
• Laura Ann Dewitt, M.D.
• K A Deyoung, DC

• Physician Assistant in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.