Mount Vernon Orthopaedics Assoc

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

0101035087 Issued in VA

Legal business name

MOUNT VERNON ORTHOPAEDICS ASSOC

Practice address

8101 Hinson Farm Rd
Suite 301
Alexandria, VA 22306-3403

Phone

(703) 765-4321

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Bird

Title

Manager

Phone

(703) 765-4321

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Stephen C Saddler, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Arlington, VA
  • NPI 1750303962

  Neuromusculoskeletal Medicine, Sports Medicine

  NPD (past)
• Stuart L Davidson, M.D.

  • Orthopaedic Surgery Physician
  • Bar Harbor, ME
  • NPI 1205856341

  Orthopaedic Surgery

  NPD (past)
• Laura A Stanfield, PA-C

  • Medical Physician Assistant
  • Clinton, MD
  • NPI 1972583904
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1881600419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-765-4321",
            "fax_number": "703-780-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-765-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON ORTHOPAEDICS ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-765-4321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101035087",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRO MEDICARE GROUP PTAN",
            "identifier": "176608",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NCA GROUP PROVIDER #",
            "identifier": "4695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "145530100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Vernon Family Therapy Associates
• Mount Vernon Internal Medicine
• Mount Vernon Internal Medicine
• Mount Vernon Modern Dentistry, PC
• Mount Vernon Nursing Center Associates, LLLP
• Mount Vernon Physical Therapy LC
• Mount Vernon Primary Care Associates, PLLC
• Mount Vernon Rehabilitation Medicine Associates
• Soumeye Moustapha
• Movement and Media Studio LLC

• All providers in Alexandria, VA
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.