4H Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

4H MEDICAL LLC

Doing business as

Prime Health

Practice address

1035 Sterling Rd Ste 104
Herndon, VA 20170-3838

Phone

(703) 840-0610

Fax

(571) 323-3243

NPI assigned

Jun 24, 2008

Last updated

Sep 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Han Tonthat, MDNPI 1801897335

Title

Officer

Phone

(703) 840-0610

Specialties & licenses 1

Addresses

Other names 1

• Prime Health Doing business as

Medicare fee-for-service enrollment

Enrolled in DC2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Han Tonthat, MD

  • Internal Medicine Physician
  • Herndon, VA
  • NPI 1801897335

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1902067655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 STERLING RD STE 104",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703838",
            "telephone_number": "703-840-0610",
            "fax_number": "571-323-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 STERLING RD STE 104",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703838",
            "telephone_number": "703-840-0610",
            "fax_number": "571-323-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4H MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "TONTHAT",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "703-840-0610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Herndon, VA
• Providers in Herndon, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.