Tyson's Pain Center, P.C.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

0101057229 Issued in VA

Legal business name

TYSON'S PAIN CENTER, P.C.

Practice address

8133 Leesburg Pike
Suite 305
Vienna, VA 22182-2751

Phone

(703) 897-1300

Fax

(703) 897-1301

NPI assigned

Jun 16, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ali Hassan Nagia, M.D.NPI 1174605935

Title

President

Phone

(703) 897-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali H. Nagia, M.D.

  • Anesthesiology Physician
  • Woodbridge, VA
  • NPI 1174605935

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1518317965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "address_2": "SUITE 305",
            "city": "VIENNA,",
            "state": "VA",
            "postal_code": "221822706",
            "telephone_number": "703-897-1300",
            "fax_number": "703-897-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "address_2": "SUITE 305",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822751",
            "telephone_number": "703-897-1300",
            "fax_number": "703-897-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON'S PAIN CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "NAGIA",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-897-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "VA",
            "license": "0101057229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tazhae Tyler
• Olivia Tyra
• Tyson Orthodontics, PC
• Tyson Urgent Care, LLC
• David Sheldon Tyson, LCSW, LCSW-C, LICSW
• Tysons Corner Advanced Dental Center PC
• Tysons Corner Dental PC,
• Tysons Corner Diagnostic Imaging LLC (Tysons Corner Diagnostic Imaging)
• Tysons Corner Endodontics
• Tysons Corner Ophthalmic Associates, LTD (Northern Virginia Center for Eye Care)

• Pain Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Pain Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.