Alexandria Springfield Emergency Physicians PC

Organization Active NPI Emergency Medicine Physician · Alexandria, VA

NPI 1720839764 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1720839764
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
ALEXANDRIA SPRINGFIELD EMERGENCY PHYSICIANS PC
Practice address
6355 Walker LN
Alexandria, VA 22310-3245
Phone
(844) 474-4019
NPI assigned
Mar 28, 2024
Organization subpart
No

Authorized official

Name
Jennifer Chastain
Title
Provider Enrollment
Phone
(330) 493-4443

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 447

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 447

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130514000155 DC Part B Supplier - Clinic/Group Practice 1052558954 Receives reassigned benefits from 190 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alexandria, VA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

6355 Walker LN
Alexandria, VA 22310-3245

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443

Other providers in Alexandria, VA

All providers in Alexandria, VA · Emergency Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.