NPIMap

Organization Active NPI

US Army Medcom

  • Medical Physician Assistant
  • Arlington, VA
National Provider Identifier
1902872039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2261 Issued in FL
Legal business name
US ARMY MEDCOM
Practice address
900 Army Navy Dr
Suite 1533
Arlington, VA 22202-4927
Phone
(703) 418-3716
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Joseph Shear, PA
Title
Staff Officer
Phone
(703) 693-5601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 2261 FL Primary

Addresses

Primary practice location

900 Army Navy Dr
Suite 1533
Arlington, VA 22202-4927

Mailing address

6225 25TH Ave N
St Petersburg, FL 33710-4125
Phone (727) 347-1953

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902872039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 25TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104125",
            "telephone_number": "727-347-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ARMY NAVY DR",
            "address_2": "SUITE 1533",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024927",
            "telephone_number": "703-418-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY MEDCOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "STAFF OFFICER",
        "authorized_official_telephone_number": "703-693-5601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "2261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.