Potomac Audiology LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

POTOMAC AUDIOLOGY LLC

Practice address

14000 Crown CT Ste 201
Woodbridge, VA 22193-1463

Phone

(571) 481-2442

Fax

(703) 619-5283

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Alidad Arabshahi, MD

Title

Ceo

Phone

(571) 481-2442

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1710586300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 CROWN CT STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931463",
            "telephone_number": "571-481-2442",
            "fax_number": "703-619-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 CROWN CT STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931463",
            "telephone_number": "571-481-2442",
            "fax_number": "703-619-5283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6371 Little River Tpke Fl 1",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223125002",
            "country_code": "US",
            "telephone_number": "571-351-4850",
            "fax_number": "703-499-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 Garrisonville Rd # 208209",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541545",
            "country_code": "US",
            "telephone_number": "571-481-2442",
            "fax_number": "703-619-5283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POTOMAC AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "ARABSHAHI",
        "authorized_official_first_name": "ALIDAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-481-2442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://potomacent.com/",
            "affiliation": "N",
            "endpointDescription": "company web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Alexandria",
            "address_1": "14000 Crown Ct Ste 201",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221931463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tina Polley
• Melanie Anne Pooler, RN
• William Pope
• Jenna Popvich, LPC
• David L Postelnek, MD
• Potomac Cardiovascular Consultants, LLC
• Potomac Cobbler, Inc
• Potomac Dental Care PC
• Potomac Eye Care, PLLC
• Potomac Festival Urgent Care

• Otolaryngology Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.