Organization Active NPI

Health 1St PC

  • Family Medicine Physician
  • Dumfries, VA
National Provider Identifier
1609942408
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH 1ST PC
Practice address
3763 Fettler Park Drive
Dumfries, VA 22025-1946
Phone
(703) 445-9250
Fax
(703) 445-9251
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Naeem Khan, M.D.
Title
Owner
Phone
(703) 455-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3763 Fettler Park Drive
Dumfries, VA 22025-1946

Mailing address

3763 Fettler Park Drive
Dumfries, VA 22025-1946
Phone (703) 445-9250

Other identifiers 1

IdentifierTypeStateIssuer
10357594MedicaidVA

National Provider Directory

National Provider Directory

Locations

3755 Fettler Park Dr
Ste A
Dumfries, VA 22025
Phone (703) 445-9250

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1609942408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 FETTLER PARK DRIVE",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "703-445-9250",
            "fax_number": "703-445-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 FETTLER PARK DRIVE",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "703-445-9250",
            "fax_number": "703-445-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH 1ST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NAEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-455-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10357594",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.