Organization Active NPI

Virginia Medical Associates PLLC

  • Internal Medicine Physician
  • Springfield, VA
National Provider Identifier
1710132675
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIRGINIA MEDICAL ASSOCIATES PLLC
Practice address
6128 Brandon Ave Ste 221
Springfield, VA 22150-2640
Phone
(703) 942-5460
Fax
(703) 942-5630
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Annie T Thomas, MDNPI 1578666715
Title
President Owner
Phone
(703) 402-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6128 Brandon Ave Ste 221
Springfield, VA 22150-2640

Mailing address

6128 Brandon Ave Ste 221
Springfield, VA 22150-2640
Phone (703) 942-5460

Other identifiers 5

IdentifierTypeStateIssuer
5686657OtherVAAETNA
466590OtherVAANTHEM
193676203OtherVAUNITED HEALTHCARE
B300008OtherVACAREFIRST BCBS
8132487OtherVAMAMSI

National Provider Directory

National Provider Directory

Locations

6128 Brandon Ave
Ste 221
Springfield, VA 22150
Phone (703) 942-5460

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": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1710132675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 BRANDON AVE STE 221",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502640",
            "telephone_number": "703-942-5460",
            "fax_number": "703-942-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 BRANDON AVE STE 221",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502640",
            "telephone_number": "703-942-5460",
            "fax_number": "703-942-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "703-402-0765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5686657",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "466590",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "193676203",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "B300008",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "8132487",
            "state": "VA"
        }
    ],
    "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 Jan 13, 2009; 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.