Active NPI
Marla M Mead, DO
- Family Medicine Physician
- Alexandria, VA
National Provider Identifier
1710274055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS017166
- Practice address
- 1225 Martha Custis Dr
Suite C7
Alexandria, VA 22302-2000 - Phone
- (703) 998-6760
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS017166 | PA | Primary |
Addresses
Primary practice location
1225 Martha Custis Dr
Suite C7
Alexandria, VA 22302-2000
Mailing address
1225 Martha Custis Dr
Suite C7
Alexandria, VA 22302-2000
Phone (703) 998-6760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 6, 2016 through Jan 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS017166 | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1710274055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 MARTHA CUSTIS DR",
"address_2": "SUITE C7",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022000",
"telephone_number": "703-998-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 MARTHA CUSTIS DR",
"address_2": "SUITE C7",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022000",
"telephone_number": "703-998-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAD",
"first_name": "MARLA",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS017166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.