Northwest Internists LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101038350 Issued in VA

Legal business name

NORTHWEST INTERNISTS LLC

Practice address

1313 Dolley Madison Blvd
Suite 302
MC Lean, VA 22101-3953

Phone

(703) 356-2037

Fax

(703) 734-8987

NPI assigned

May 19, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M Masterson, MDNPI 1649224643

Title

Director

Phone

(703) 356-2037

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas M Masterson, MD

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1649224643
  Authorized official Same address or phone

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1770536724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221010487",
            "telephone_number": "703-356-2037",
            "fax_number": "703-734-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BLVD",
            "address_2": "SUITE 302",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013953",
            "telephone_number": "703-356-2037",
            "fax_number": "703-734-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INTERNISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-356-2037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101038350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in McLean, VA
• Providers in McLean, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.