Primary Care Medical Associates PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PRIMARY CARE MEDICAL ASSOCIATES PC

Practice address

106 Elden St
Suite 10
Herndon, VA 20170-4872

Phone

(703) 481-3131

Fax

(703) 471-1173

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Payling-Wright, M.D.

Title

Secretary

Phone

(703) 481-3131

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1699895508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ELDEN ST",
            "address_2": "SUITE 10",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704872",
            "telephone_number": "703-481-3131",
            "fax_number": "703-471-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ELDEN ST",
            "address_2": "SUITE 10",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704872",
            "telephone_number": "703-481-3131",
            "fax_number": "703-471-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "PAYLING-WRIGHT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-481-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Medicine Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.