Triumph Medical Advancments

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

0101254060 Issued in VA

Legal business name

TRIUMPH MEDICAL ADVANCMENTS

Practice address

43704 Lees Mill SQ
Leesburg, VA 20176-3821

Phone

(845) 325-6504

NPI assigned

Feb 5, 2014

Organization subpart

No

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

Authorized official

Name

Waheed Baksh, MD

Title

Ceo

Phone

(845) 325-6504

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1902220403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3104",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201778003",
            "telephone_number": "845-325-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43704 LEES MILL SQ",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763821",
            "telephone_number": "845-325-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH MEDICAL ADVANCMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "BAKSH",
        "authorized_official_first_name": "WAHEED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-325-6504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101254060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.