Family Medical Center Holding LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

0101240114 Issued in VA

Legal business name

FAMILY MEDICAL CENTER HOLDING LLC

Practice address

14904 Jefferson Davis Hwy Ste 205
Woodbridge, VA 22191-3908

Phone

(703) 497-4500

Fax

(703) 494-4671

NPI assigned

Dec 1, 2015

Last updated

Dec 1, 2015By 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

Sallu Jabati

Title

MD/Medical Director

Phone

(703) 497-4500

Specialties & licenses 3

Addresses

Practitioners 2

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.

• Denis John Halmi, M.D.

  • Surgery Physician
  • Woodbridge, VA
  • NPI 1710916697
  NPD (past)
• Masoud Rezvani, M.D.

  • Surgery Physician
  • Woodbridge, VA
  • NPI 1992964621
  NPD (past)

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1548634678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY STE 205",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-497-4500",
            "fax_number": "703-494-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY STE 205",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-497-4500",
            "fax_number": "703-494-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "JABATI",
        "authorized_official_first_name": "SALLU",
        "authorized_official_title_or_position": "MD/MEDICAL  DIRECTOR",
        "authorized_official_telephone_number": "703-497-4500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240114",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101240114",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101240114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Global Healthcare LLC
• Faith Home Healthcare, LLC
• Tina Janet Falika King, M.D., M.P.H.
• Rachel Melissa Fama, PTA
• Family Chiropractic Center of Lake Ridge
• Family Medicine of Lake Ridge PC
• Family Mental Health of Virginia, LLC (Ellie Mental Health)
• Family Psychiatric Associates, P.C. (Family Psychiatric Associates)
• Family Teamwork, Inc.
• Familyfirst Care LLC

• Interventional Pain Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Interventional Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.