Virginia Integrative Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIRGINIA INTEGRATIVE MEDICAL

Practice address

125 Prosperity Dr
Suite 500
Winchester, VA 22602-5385

Phone

(540) 508-0651

Fax

(540) 508-0841

NPI assigned

Mar 31, 2017

Organization subpart

No

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

Authorized official

Name

Jordan Le Tran, MD

Title

Sole Owner

Phone

(540) 508-0651

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1457883290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR",
            "address_2": "SUITE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016907",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PROSPERITY DR",
            "address_2": "SUITE 500",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226025385",
            "telephone_number": "540-508-0651",
            "fax_number": "540-508-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA INTEGRATIVE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "540-508-0651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Winchester, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.