Organization Active NPI

Battlefield Family Practice

  • Specialist
  • Manassas, VA
National Provider Identifier
1952507121
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101044542 Issued in VA
Legal business name
BATTLEFIELD FAMILY PRACTICE
Practice address
9625 Surveyor CT
Suite 100
Manassas, VA 20110-4422
Phone
(703) 330-2233
Fax
(703) 330-2232
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. Nicholas J Tavani Jr., MD
Title
President
Phone
(703) 330-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101044542 VA Primary

Addresses

Primary practice location

9625 Surveyor CT
Suite 100
Manassas, VA 20110-4422

Mailing address

9625 Surveyor CT
Suite 100
Manassas, VA 20110-4422
Phone (703) 330-2233

Other identifiers 3

IdentifierTypeStateIssuer
382570OtherVAANTHEM
005605601MedicaidVA
577722042OtherVATRICARE CHAMPUS

National Provider Directory

National Provider Directory

Locations

8620 Rolling Rd
Manassas, VA 20110
Phone (703) 257-4661

9625 Surveyor Ct
Ste 100
Manassas, VA 20110
Phone (703) 330-2233

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1952507121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR CT",
            "address_2": "SUITE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104422",
            "telephone_number": "703-330-2233",
            "fax_number": "703-330-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR CT",
            "address_2": "SUITE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104422",
            "telephone_number": "703-330-2233",
            "fax_number": "703-330-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLEFIELD FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "TAVANI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-330-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101044542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "382570",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005605601",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS",
            "identifier": "577722042",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.