William Bruce Lundeen MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101012571 Issued in VA

Legal business name

WILLIAM BRUCE LUNDEEN MD PC

Practice address

1701 N George Mason Dr
Arlington, VA 22205-3610

Phone

(703) 558-6284

Fax

(703) 558-5512

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

William B Lundeen, MD

Title

Owner

Phone

(703) 766-8052

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Radiation Therapy Associates Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derick Anthony Hanlan, M.D

  • Radiation Oncology Physician
  • Arlington, VA
  • NPI 1598766818
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1497854780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 PINECREST RD",
            "address_2": "SUITE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911653",
            "telephone_number": "703-860-1178",
            "fax_number": "703-860-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "703-558-6284",
            "fax_number": "703-558-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BRUCE LUNDEEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LUNDEEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-766-8052",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101012571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7276192",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiation Therapy Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan Wildenhain, ATC
• Erica Leigh Wiles
• Katherine Grace Kopriva Wiles
• Sarah Wilhoite
• Zoe Willett
• William F Enos MD, PLLC
• William G Franklin M D LTD
• Elke Williams-Hobbes
• Ashley Michelle Williams, DC
• Britney Williams

• 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 Jun 18, 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.

Verify at the official NPI Registry.