Active NPI
Rebecca Ogur Sinclair, M.D.
- Internal Medicine Physician
- Woodbridge, VA
National Provider Identifier
1922282771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- VA0101236634
- Practice address
- 14806 Blackburn Rd
Street Light Community Outreach Ministries
Woodbridge, VA 22191 - Phone
- (703) 491-2288
- Fax
- (703) 491-2272
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | VA0101236634 | VA | Primary |
Addresses
Primary practice location
14806 Blackburn Rd
Street Light Community Outreach Ministries
Woodbridge, VA 22191
Mailing address
12146 Darnley Road
Woodbridge, VA 22192
Phone (703) 819-9243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA0101236634 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Prince William Area Community Health Center Inc | Past | Accepting new patients | |
| Greater Prince William Area Community Health Center Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBDDAA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Manassas, VA
- NPI 1063748820
-
- Federally Qualified Health Center (FQHC)
- Manassas, VA
- NPI 1750263422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1922282771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12146 DARNLEY ROAD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22192",
"telephone_number": "703-819-9243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14806 BLACKBURN RD",
"address_2": "STREET LIGHT COMMUNITY OUTREACH MINISTRIES",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22191",
"telephone_number": "703-491-2288",
"fax_number": "703-491-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "REBECCA",
"middle_name": "OGUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "VA0101236634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.