Dumfries Family Medical Clinic

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

0101045677 Issued in VA

Legal business name

DUMFRIES FAMILY MEDICAL CLINIC

Practice address

3783 Fettler Park Dr
Dumfries, VA 22025-1946

Phone

(703) 441-1276

Fax

(703) 441-0097

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn E Torres

Title

Office Manager

Phone

(703) 441-1276

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Loreto P Virtudes, MD

  • Internal Medicine Physician
  • Dumfries, VA
  • NPI 1487663407
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1790951275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "703-441-1276",
            "fax_number": "703-441-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "703-441-1276",
            "fax_number": "703-441-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUMFRIES FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-441-1276",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0101045677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "210772",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominion Physical Therapy, LLC
• Odontuya N/a Dovdon
• Alysia J Doyle
• Dumfries Dental Associates
• Dumfries Dental Care PLLC
• Kate Elizabeth Dunlap, LCSW
• Amy Marie Durham
• Dusk Book Publishers
• Victoria Afi Dzah, FNP
• Ryan P Eastridge, PT, DPT

• Exclusive Provider Organization in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Exclusive Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.