Med Urgent Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101236263 Issued in VA

Legal business name

MED URGENT CARE LLC

Practice address

24430 Millstream Dr
Stone Ridge, VA 20105-3098

Phone

(703) 864-9159

Fax

(703) 847-3189

NPI assigned

Jan 20, 2011

Organization subpart

No

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

Authorized official

Name

Brahim Elouardighi, M.D.

Title

MD/Owner

Phone

(703) 864-9159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1598060691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 AIRLINE PKWY",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513979",
            "telephone_number": "703-864-9159",
            "fax_number": "703-847-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 MILLSTREAM DR",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201053098",
            "telephone_number": "703-864-9159",
            "fax_number": "703-847-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "ELOUARDIGHI",
        "authorized_official_first_name": "BRAHIM",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "703-864-9159",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101236263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kim, OD
• Erin Kathren Long, P.T., D.P.T
• Gayatri Sneh Mantha, PSYD
• Jennifer M McCormick, OTR
• Susan McCarty McCormick, MS, LMFT
• Susanna Kay Meyer, PHARMD
• Chris Moon, PT
• Myeyedr Optometry of Virginia, PLLC
• Jennifer Karen Rohn, MA LMFT
• Casey A Sarafinas, LPC

• Internal Medicine Physician in Stone Ridge, VA
• Providers in Stone Ridge, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.