Active NPI
Premise Heath of Connecticut Medical PC
- Primary Care Clinic/Center
- Reston, VA
National Provider Identifier
1760625917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PREMISE HEATH OF CONNECTICUT MEDICAL PC
- Practice address
- 12000 Sunrise Valley Dr BLDG E
Reston, VA 20191-3403 - Phone
- (615) 468-6548
- Fax
- (615) 468-0477
- NPI assigned
- Apr 16, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Corporate family (same tax ID) 20
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Norfolk, VA
- NPI 1396293338
-
- Primary Care Clinic/Center
- Manassas, VA
- NPI 1598054793
-
- Primary Care Clinic/Center
- Lynchburg, VA
- NPI 1851695761
-
- Primary Care Clinic/Center
- Hartford, CT
- NPI 1629225842
-
- Primary Care Clinic/Center
- Plainfield, CT
- NPI 1346669934
-
- Multi-Specialty Clinic/Center
- Stamford, CT
- NPI 1538561832
-
- Urgent Care Clinic/Center
- Merrimack, NH
- NPI 1558700013
-
- Primary Care Clinic/Center
- Groton, CT
- NPI 1942780234
-
- Contractor
- South Milwaukee, WI
- NPI 1326202367
-
- Multi-Specialty Clinic/Center
- Stratford, CT
- NPI 1437805348
-
- Occupational Medicine Clinic/Center
- Nashua, NH
- NPI 1518558964
-
- Occupational Medicine Clinic/Center
- Hudson, NH
- NPI 1558952994
National Provider Directory
National Provider Directory- Tax ID family
- Premise Health of Connecticut Medical PC
Locations
32 Chicago Ave
Fl 2
Groton, CT 06340
12524 Sunrise Valley Dr
Bldg E
Reston, VA 20191
12000 Sunrise Valley Dr
Bldg E
Reston, VA 20191
Phone (615) 468-6548
12524 Sunrise Valley Dr
Reston, VA 20191
Phone (703) 592-7111
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12000 Sunrise Valley Dr BLDG E
Reston, VA 20191-3403
Mailing address
12000 Sunrise Valley Dr BLDG E
Reston, VA 20191-3403
Phone (703) 592-7111
Other names 1
NPPES NPI Registry- Sprint On Site Health Center Reston
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2026.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1760625917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 SUNRISE VALLEY DR BLDG E",
"city": "RESTON",
"state": "VA",
"postal_code": "201913403",
"telephone_number": "703-592-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 SUNRISE VALLEY DR BLDG E",
"city": "RESTON",
"state": "VA",
"postal_code": "201913403",
"telephone_number": "615-468-6548",
"fax_number": "615-468-0477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEATH OF CONNECTICUT MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-16",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "844-407-7557"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sprint On Site Health Center Reston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.