Pulmonary Care Consultants of Northern VA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0101235337 Issued in VA

Legal business name

PULMONARY CARE CONSULTANTS OF NORTHERN VA

Practice address

19410 Coppermine SQ
Leesburg, VA 20176-6533

Phone

(703) 587-8304

NPI assigned

Jul 6, 2014

Organization subpart

No

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

Authorized official

Name

Petra Joanne Thomas, MD

Title

Owner

Phone

(703) 587-8304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404604800000",
    "number": "1487060950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19410 COPPERMINE SQ",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 COPPERMINE SQ",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766533",
            "telephone_number": "703-587-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CARE CONSULTANTS OF NORTHERN VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-06",
        "last_updated": "2014-07-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PETRA",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-587-8304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101235337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Leesburg, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2014; 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.