Organization Active NPI

Ips of Winchester LLC/WMC Location

  • Internal Medicine Physician
  • Winchester, VA
National Provider Identifier
1689929457
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IPS OF WINCHESTER LLC/WMC LOCATION
Practice address
212 Linden Dr
Suite 152
Winchester, VA 22601-2894
Phone
(540) 667-0744
Fax
(540) 665-8158
NPI assigned
Jul 18, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Lisa K Weber, MD
Title
Manager
Phone
(540) 667-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X VA Primary

Addresses

Primary practice location

212 Linden Dr
Suite 152
Winchester, VA 22601-2894

Mailing address

148 Linden Dr
Suite 101
Winchester, VA 22601-6902
Phone (540) 504-0075

National Provider Directory

National Provider Directory

Locations

148 Linden Dr
Ste 101
Winchester, VA 22601
Phone (540) 504-0066

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1689929457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN DR",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016902",
            "telephone_number": "540-504-0075",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 LINDEN DR",
            "address_2": "SUITE 152",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012894",
            "telephone_number": "540-667-0744",
            "fax_number": "540-665-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPS OF WINCHESTER LLC/WMC LOCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-667-0744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal 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 Aug 29, 2012; 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.