NPIMap

Organization Active NPI

Emergency Medicine Associates

  • Emergency Medicine Physician
  • Reston, VA
National Provider Identifier
1861892879
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R183795 Issued in MD
Legal business name
EMERGENCY MEDICINE ASSOCIATES
Practice address
1850 Town Center Parkway
Reston Hospital Center
Reston, VA 20190
Phone
(703) 689-9039
Fax
(703) 689-9109
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Jennifer Chastain
Title
Provider Enrollment
Phone
(330) 493-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X R183795 MD Primary

Addresses

Primary practice location

1850 Town Center Parkway
Reston Hospital Center
Reston, VA 20190

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443

Other practice location 1

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7147

Other practice location 2

11901 Baron Cameron Ave
Reston, VA 20190-5892
Phone (703) 668-8333

Other practice location 3

4315 Chain Bridge Rd
Fairfax, VA 22030-3061
Phone (703) 877-8200

Other practice location 4

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-3116

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medicine Associates PA PC33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

11901 Baron Cameron Ave
Reston, VA 20190
Phone (703) 464-6480

Practitioners & affiliated clinicians

Practitioners 79

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

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1861892879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PARKWAY",
            "address_2": "RESTON HOSPITAL CENTER",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-689-9039",
            "fax_number": "703-689-9109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-7147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11901 Baron Cameron Ave",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905892",
            "country_code": "US",
            "telephone_number": "703-668-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4315 Chain Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220303061",
            "country_code": "US",
            "telephone_number": "703-877-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGENCY MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "330-493-4443"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "R183795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 17, 2024; 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.