Urge Medical

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

0101259313 Issued in VA

Legal business name

URGE MEDICAL

Doing business as

Dalewood Medical Center

Practice address

4158 Dale Blvd
Woodbridge, VA 22193-2225

Phone

(703) 680-5959

Fax

(703) 730-1046

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Kulak

Title

Office Manager

Phone

(703) 680-5959

Specialties & licenses 1

Addresses

Other names 1

• Dalewood Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Acsh Primary Care of Virigina, LLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1902212343

  Member Of

  NPD member

Practitioners 1

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

• Neda Motameni, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1184887895

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1780040196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932225",
            "telephone_number": "703-680-5959",
            "fax_number": "703-730-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4158 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932225",
            "telephone_number": "703-680-5959",
            "fax_number": "703-730-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "KULAK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-680-5959"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": "0101259313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalewood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Universal Health Solutions
• Uplift Medical Supply LLC
• Sindhura Uppalapati, DDS
• Alexander Upright
• Marshall Leroy Upshur, MD
• Urgent Medical Transportation LLC
• James Anthony Urso, M.D.
• US Primary and Urgent Care
• US Primary and Urgent Care Inc
• USA DME LLC

• Urgent Care Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Urgent Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.