Vienna Primary and Preventative Medicine, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101231123 Issued in VA

Legal business name

VIENNA PRIMARY AND PREVENTATIVE MEDICINE, PLLC

Doing business as

Vienna Primary and Preventive Medicine

Practice address

243 Church St NW
Suite 100C
Vienna, VA 22180-4434

Phone

(703) 255-3067

Fax

(703) 255-3069

NPI assigned

Jun 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Micha Joffee, MDNPI 1528002623

Title

Manager

Phone

(703) 255-3067

Specialties & licenses 1

Addresses

Other names 1

• Vienna Primary and Preventive Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Micha Joffee, M.D.

  • Family Medicine Physician
  • Vienna, VA
  • NPI 1528002623
  Authorized official Same address or phone
• Katherine Chalkley Frederick, FNP-BC

  • Family Nurse Practitioner
  • Vienna, VA
  • NPI 1124572433
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437195468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW",
            "address_2": "SUITE 100C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-255-3067",
            "fax_number": "703-255-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW",
            "address_2": "SUITE 100C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-255-3067",
            "fax_number": "703-255-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA PRIMARY AND PREVENTATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOFFEE",
        "authorized_official_first_name": "MICHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-255-3067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101231123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vienna Primary and Preventive Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vienna Neurological Institute PLLC
• Vienna Optical Co., Inc
• Vienna Optometry, LLC (MyEyeDr.)
• Vienna Periodontics
• Vienna Podiatry LTD
• Vienna-Fair Oaks Hearing and Speech Center, Inc.
• Tonie Vieux, M.S., CCC-SLP
• Alexander Joseph Viglis, LPC
• Theresa Villa, PHARMD
• Virdio, Inc. (Virdio Health)

• Primary Care Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Primary Care Clinic/Center in Virginia

• 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.
• 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.