Active NPI
Page Moss Fletcher MD PC
- Geriatric Psychiatry Physician
- Leesburg, VA
National Provider Identifier
1457409633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 0101050872
- Legal business name
- PAGE MOSS FLETCHER MD PC
- Practice address
- 224 Cornwall St NW
Leesburg, VA 20176-2701 - Phone
- (703) 779-4020
- NPI assigned
- Jan 6, 2007
- 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
- Page M Fletcher, MD
- Title
- Director
- Phone
- (703) 779-4020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 0101050872 | VA | Primary |
Addresses
Primary practice location
224 Cornwall St NW
Leesburg, VA 20176-2701
Mailing address
PO Box 6264
Leesburg, VA 20178-7440
Phone (703) 779-4020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF6478 | Other | MEDICARE RAILROAD | |
| 247439 | Other | VA | ANTHEM BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Leesburg, VA
- NPI 1487656534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1457409633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6264",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201787440",
"telephone_number": "703-779-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 CORNWALL ST NW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762701",
"telephone_number": "703-779-4020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAGE MOSS FLETCHER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-06",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "PAGE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-779-4020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "VA",
"license": "0101050872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DF6478",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "247439",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.