Active NPI
Anthony J. Prah, M.D.
- Pediatrics Physician
- Woodbridge, VA
National Provider Identifier
1942248513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101230895
- Practice address
- 2300 Opitz Blvd
Woodbridge, VA 22191-3311 - Phone
- (703) 670-1313
- NPI assigned
- Jun 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101230895 | VA | Primary |
Addresses
Primary practice location
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Mailing address
47427 Halcyon PL
Sterling, VA 20165-3154
Phone (703) 450-7666
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Emergency Physicians PC | Past | Accepting new patients | |
| Hospital Physician Services, LLLP | Past | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1366061574
-
- Emergency Medicine Physician
- Leesburg, VA
- NPI 1598723082
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1457302713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942248513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47427 HALCYON PL",
"city": "STERLING",
"state": "VA",
"postal_code": "201653154",
"telephone_number": "703-450-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 OPITZ BLVD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913311",
"telephone_number": "703-670-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAH",
"first_name": "ANTHONY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101230895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Precious Jewel Healthcare Services
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- Precision Orthopedics and Sports Medicine (Precision Orthopedics and Sports Medicine - Woodbridge)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.