NPIMap

Organization Active NPI

Medical Professionals on-Call, Inc.

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1750695995
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-11660 Issued in VA
Legal business name
MEDICAL PROFESSIONALS ON-CALL, INC.
Practice address
10875 Main St Ste 112
Fairfax, VA 22030-4732
Phone
(703) 273-8818
NPI assigned
Jul 29, 2010
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Ms. Elizabeth Wiafe
Title
Administrator
Phone
(703) 273-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-11660 VA Primary

Addresses

Primary practice location

10875 Main St Ste 112
Fairfax, VA 22030-4732

Mailing address

10875 Main St Ste 112
Fairfax, VA 22030-4732

Other identifiers 2

IdentifierTypeStateIssuer
0087037104MedicaidVA
0087729676MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Medical Professionals on-Call Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1750695995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST STE 112",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST STE 112",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732",
            "telephone_number": "703-273-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROFESSIONALS ON-CALL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "WIAFE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-273-8818",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-11660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087037104",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087729676",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.