Stuart Marlon Portnoy, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101048587 Issued in VA

Practice address

5151 10TH Rd N
Arlington, VA 22205-2505

Phone

(703) 527-2380

Fax

(650) 412-0961

NPI assigned

Oct 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1477806941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 10TH RD N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052505",
            "telephone_number": "703-527-2380",
            "fax_number": "650-412-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 10TH RD N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052505",
            "telephone_number": "703-527-2380",
            "fax_number": "650-412-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "STUART",
        "middle_name": "MARLON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101048587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Polk, PSYD LCP
• Ann L Poloncak, OD
• Kelly Pontera
• Josefina A Pope, MSW
• Cary O Poropatich, MD
• Postpartum Wellness Foundation
• Potomac Behavioral Solutions
• Potomac Health Services,LLC
• Mojgan Pourmand, PSY.D.
• Olga Povcher, MD

• Specialist in Arlington, VA
• Providers in Arlington, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.