Organization Active NPI

Beth a Omundsen MD PLC

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1679877757
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BETH A OMUNDSEN MD PLC
Practice address
3050 Valley Ave
Suite 100-102
Winchester, VA 22601-2668
Phone
(540) 723-4994
Fax
(540) 723-9699
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Beth A Omundsen, MD
Title
Owner
Phone
(540) 723-4994

Specialties & licenses 1

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

Addresses

Primary practice location

3050 Valley Ave
Suite 100-102
Winchester, VA 22601-2668

Mailing address

3050 Valley Ave
Suite 100-102
Winchester, VA 22601-2668
Phone (540) 723-4994

National Provider Directory

National Provider Directory

Locations

3050 Valley Ave
Ste 100102
Winchester, VA 22601
Phone (540) 723-4994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1679877757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 VALLEY AVE",
            "address_2": "SUITE 100-102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012668",
            "telephone_number": "540-723-4994",
            "fax_number": "540-723-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 VALLEY AVE",
            "address_2": "SUITE 100-102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012668",
            "telephone_number": "540-723-4994",
            "fax_number": "540-723-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH A OMUNDSEN MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "OMUNDSEN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-723-4994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.