NPIMap

Organization Active NPI

Clarendon Clinic, PC

  • Internal Medicine Physician
  • Arlington, VA
National Provider Identifier
1932296159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101034371 Issued in VA
Legal business name
CLARENDON CLINIC, PC
Practice address
1220 N Hudson St
Arlington, VA 22201-5048
Phone
(703) 243-0250
Fax
(703) 243-0148
NPI assigned
Oct 9, 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
Phuoc Kim Doan, MDNPI 1770519639
Title
Medical Officer
Phone
(703) 243-0250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101034371 VA Primary

Addresses

Primary practice location

1220 N Hudson St
Arlington, VA 22201-5048

Mailing address

1220 N Hudson St
Arlington, VA 22201-5048
Phone (703) 243-0250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932296159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N HUDSON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015048",
            "telephone_number": "703-243-0250",
            "fax_number": "703-243-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N HUDSON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015048",
            "telephone_number": "703-243-0250",
            "fax_number": "703-243-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "PHUOC",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "703-243-0250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101034371",
            "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.