Organization Active NPI

Piedmont Medical Clinic

  • Ph.D. Medical Genetics
  • Manassas, VA
National Provider Identifier
1417150665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
PIEDMONT MEDICAL CLINIC
Practice address
7960 Donegan Dr
Suite 217
Manassas, VA 20109-8236
Phone
(703) 393-8883
Fax
(703) 393-8857
NPI assigned
Jun 6, 2007
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. Cynthia S. Flores, D.O.
Title
D.O
Phone
(703) 393-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X Primary

Addresses

Primary practice location

7960 Donegan Dr
Suite 217
Manassas, VA 20109-8236

Mailing address

7960 Donegan Dr
Suite 217
Manassas, VA 20109-8236
Phone (703) 393-8883

National Provider Directory

National Provider Directory

Locations

8140 Ashton Ave
Ste 115
Manassas, VA 20109
Phone (703) 361-8284

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417150665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 DONEGAN DR",
            "address_2": "SUITE 217",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098236",
            "telephone_number": "703-393-8883",
            "fax_number": "703-393-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 DONEGAN DR",
            "address_2": "SUITE 217",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098236",
            "telephone_number": "703-393-8883",
            "fax_number": "703-393-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "D.O",
        "authorized_official_telephone_number": "703-393-8883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, 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.