Organization Active NPI

Mountain View Internal Medicine and Pediatrics Inc.

  • Internal Medicine Physician
  • Haymarket, VA
National Provider Identifier
1821247503
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101243618 Issued in VA
Legal business name
MOUNTAIN VIEW INTERNAL MEDICINE AND PEDIATRICS INC.
Practice address
15195 Heathcoat Blvd
Suite 330
Haymarket, VA 20169-6242
Phone
(571) 248-0167
Fax
(571) 248-0173
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Cecilia V Hatfield
Title
Practice Manager
Phone
(571) 248-0167

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0101243618 VA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 0101243618 VA

Addresses

Primary practice location

15195 Heathcoat Blvd
Suite 330
Haymarket, VA 20169-6242

Mailing address

15195 Heathcoat Blvd
Suite 330
Haymarket, VA 20169-6242
Phone (571) 248-0167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081014000153 VA Part B Supplier - Clinic/Group Practice 9931277266 Receives reassigned benefits from 4 practitioners
Practice locations: Gainesville, VA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGEFAA

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1821247503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15195 HEATHCOAT BLVD",
            "address_2": "SUITE 330",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201696242",
            "telephone_number": "571-248-0167",
            "fax_number": "571-248-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 HEATHCOAT BLVD",
            "address_2": "SUITE 330",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201696242",
            "telephone_number": "571-248-0167",
            "fax_number": "571-248-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW INTERNAL MEDICINE AND PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "571-248-0167"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101243618",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101243618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.