Centreville Medical Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101248485 Issued in VA

Legal business name

CENTREVILLE MEDICAL PRACTICE PLLC

Practice address

5715 Centre Square Dr
Centreville, VA 20120-1916

Phone

(703) 631-5151

Fax

(703) 631-9754

NPI assigned

Jan 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nasir Ramin, M.D.

Title

Owner

Phone

(703) 631-5151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1659675460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 CENTRE SQUARE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-631-5151",
            "fax_number": "703-631-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 CENTRE SQUARE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-631-5151",
            "fax_number": "703-631-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTREVILLE MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "RAMIN",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-631-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101248485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF DR. NASIR RAMIN",
            "identifier": "1144388794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centreville Chiropractic Center
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• Centreville Family Chiropractic
• Centreville Family Practice
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• Centreville Optometry, LLC
• Centreville Pediatric Dentistry PLLC
• Centreville Physical Therapy, PC
• Centreville Women'S Health LLC
• Centreville-Chantilly Family Practice

• Family Medicine Physician in Centreville, VA
• Providers in Centreville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.