Active NPI
Dominion Urgent Care Center LLC
- Internal Medicine Physician
- Springfield, VA
National Provider Identifier
1689803207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101230447
- Legal business name
- DOMINION URGENT CARE CENTER LLC
- Practice address
- 6370 Springfield PLZ
Springfield, VA 22150-3431 - Phone
- (703) 569-7554
- Fax
- (703) 569-7410
- NPI assigned
- Jul 2, 2009
- Last updated
- Jul 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Najwa Abdullah
- Title
- Billing Specialist
- Phone
- (703) 569-7554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101230447 | VA | Primary |
Addresses
Primary practice location
6370 Springfield PLZ
Springfield, VA 22150-3431
Mailing address
6370 Springfield PLZ
Springfield, VA 22150-3431
Phone (703) 569-7554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2075690 | Dominion Urgent Care | Certificate of waiver | Apr 1, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 30
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246492800000",
"number": "1689803207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6370 SPRINGFIELD PLZ",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221503431",
"telephone_number": "703-569-7554",
"fax_number": "703-569-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6370 SPRINGFIELD PLZ",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221503431",
"telephone_number": "703-569-7554",
"fax_number": "703-569-7410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINION URGENT CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-02",
"last_updated": "2009-07-02",
"status": "A",
"authorized_official_last_name": "ABDULLAH",
"authorized_official_first_name": "NAJWA",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "703-569-7554"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101230447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.