Active NPI
Tele-Physicians, P.C.
- Neurology Physician
- Herndon, VA
National Provider Identifier
1629484050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- TELE-PHYSICIANS, P.C.
- Practice address
- 2411 Dulles Corner Park Ste 475
Herndon, VA 20171-5605 - Phone
- (800) 762-9244
- Fax
- (786) 672-6006
- NPI assigned
- Jul 7, 2014
- Organization subpart
- Yes
- Parent organization
- TELE-PHYSICIANS, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Milagros Woodard
- Title
- VP, Revenue Cycle Management
- Phone
- (972) 972-4673
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Neurology Physician | 2084N0400X | Primary | ||
| Psychiatry Physician | 2084P0800X | |||
| Vascular Neurology Physician | 2084V0102X |
Addresses
Primary practice location
2411 Dulles Corner Park Ste 475
Herndon, VA 20171-5605
Mailing address
2411 Dulles Corner Park Ste 475
Herndon, VA 20171-5605
Phone (800) 762-9244
Other practice location 1
1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Phone (800) 762-9244
National Provider Directory
National Provider Directory- Tax ID family
- Tele-Physicians PC
- Part of
- Tele-Physicians PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurology Physician
- Herndon, VA
- NPI 1538575964
-
- Neurology Physician
- Dallas, TX
- NPI 1053727404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1629484050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 DULLES CORNER PARK STE 475",
"city": "HERNDON",
"state": "VA",
"postal_code": "201715605",
"telephone_number": "800-762-9244",
"fax_number": "786-672-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 DULLES CORNER PARK STE 475",
"city": "HERNDON",
"state": "VA",
"postal_code": "201715605",
"telephone_number": "800-762-9244",
"fax_number": "786-672-6006"
}
],
"practiceLocations": [
{
"address_1": "1768 Business Center Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201905359",
"country_code": "US",
"telephone_number": "800-762-9244",
"fax_number": "786-672-6006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TELE-PHYSICIANS, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TELE-PHYSICIANS, P.C.",
"enumeration_date": "2014-07-07",
"last_updated": "2022-11-30",
"certification_date": "2022-02-07",
"status": "A",
"authorized_official_last_name": "WOODARD",
"authorized_official_first_name": "MILAGROS",
"authorized_official_title_or_position": "VP, REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "972-972-4673"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.