Virginia Advanced Medical Center, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VIRGINIA ADVANCED MEDICAL CENTER, PC

Practice address

3930 Pender Dr Ste 320
Fairfax, VA 22030-0986

Phone

(703) 817-7770

Fax

(703) 563-6274

NPI assigned

Sep 30, 2008

Last updated

Aug 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chin KimNPI 1770636508

Title

Physician

Phone

(703) 817-7770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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.

• Chin Oh Kim, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1770636508

  DC

  Medicare reassignment NPD Authorized official
• Joanne Gryski, PT

  • Physical Therapist
  • Centreville, VA
  • NPI 1538362868
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1942451695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR STE 320",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300986",
            "telephone_number": "703-817-7770",
            "fax_number": "703-563-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR STE 320",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300986",
            "telephone_number": "703-817-7770",
            "fax_number": "703-563-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA ADVANCED MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-817-7770"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Elizabeth Vingelis, EDD
• Rita Da Silva Vint, RN
• Vip Imed Center
• Virgina Health Group, PC
• Virginia ABA Center LLC
• Virginia Cancer Specialists, P.C.
• Virginia Cancer Specialists, P.C.
• Virginia Cardiology, PC
• Virginia Clinical Therapy Center
• Virginia Covid Clinic

• Primary Care Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.