Pccmed, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0101252082 Issued in VA

Legal business name

PCCMED, LLC

Practice address

3300 Gallows Rd
Falls Church, VA 22042-3307

Phone

(703) 776-3582

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Osman Malik, MD

Title

Proprietor

Phone

(785) 608-1481

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1932628351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 CALPURNIA CT",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022701",
            "telephone_number": "785-608-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-3582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PCCMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "785-608-1481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101252082",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101252082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denis Pauze, MD
• Jessica Pawlowski, RN
• Tiomara Paylor, DPM
• Erin Scott Payne, DNP, FNP
• Sharon Payouway
• Carl Peace, CSA
• Pamela Diane Pearce, LPC
• Charles Pearson, CCP
• Stacey Elaine Pecar, OTR/L
• Luis Alberto Pedemonte, ACNP

• Pulmonary Disease Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.