Northern Virginia Internal Medicine and Pediatrics, P.C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101235679 Issued in VA

Legal business name

NORTHERN VIRGINIA INTERNAL MEDICINE AND PEDIATRICS, P.C

Practice address

2501 N Glebe Rd
#301
Arlington, VA 22207-3558

Phone

(703) 527-6664

Fax

(703) 527-0655

NPI assigned

Dec 27, 2007

Last updated

Mar 6, 2009By 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

Dr. Mary Ellen Gallagher, M.D.

Title

Cheif Medical Officer

Phone

(703) 527-6664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Mary Ellen Gallagher, M.D.

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1417956814

  DC

  Medicare reassignment

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1942484894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD",
            "address_2": "#301",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-527-6664",
            "fax_number": "703-527-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD",
            "address_2": "#301",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-527-6664",
            "fax_number": "703-527-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA INTERNAL MEDICINE AND PEDIATRICS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CHEIF MEDICAL OFFICER",
        "authorized_official_telephone_number": "703-527-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101235679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Virgina Family Medical Center, Inc.
• Northern Virgina Home Care LLC
• Northern Virginia Emergency Physicians, LLP
• Northern Virginia Endodontic Associates, PLLC
• Northern Virginia Family Practice Associates
• Northern Virginia MRI, Joint Venture
• Northern Virginia Neurologic Associates
• Northern Virginia Pain and Rehab Center, PC
• Northern Virginia Physicians Services,LLC
• Northern Virginia Physicians to Women, LTD.

• General Practice Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.