Anthony Inae, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101234957 Issued in VA

Practice address

77 Nealy Avenue
1St Medical Group
Langley Afb, VA 23665-2023

Phone

(757) 225-7630

NPI assigned

Feb 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1700064466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NEALY AVENUE",
            "address_2": "1ST MEDICAL GROUP",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652023",
            "telephone_number": "757-225-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NEALY AVENUE",
            "address_2": "1ST MEDICAL GROUP",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652023",
            "telephone_number": "757-225-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INAE",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101234957",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Oliver Harback, R.D.
• Stephen Mitchell Harris, IDMT
• Sandra S. Hearne, D.D.S.
• Crystal Dawn Hickman, RN
• David C Houglum, M.D.
• Victor M Inga, PA-C
• Jennifer Melissa Jacobs, PHARM.D.
• Leigh Gossick Johnson, PH.D.
• Loren M Jones, M.D.
• Adam Koertner

• Family Medicine Physician in Langley Afb, VA
• Providers in Langley Afb, 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 Feb 5, 2008; 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.