Virginia Pain and Addiction Consultants, PLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

VIRGINIA PAIN AND ADDICTION CONSULTANTS, PLC

Practice address

9309 Center St Ste 101
Manassas, VA 20110-5599

Phone

(703) 828-6475

NPI assigned

Apr 26, 2021

Last updated

Apr 26, 2021By 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

Ash Diwan, MD

Title

Owner

Phone

(703) 828-6475

Specialties & licenses 2

Addresses

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.

• Joo-Rhee Jacob

  • Peer Specialist
  • Manassas, VA
  • NPI 1134994601
  NPD

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1952983298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 CENTER ST STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 CENTER ST STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105599",
            "telephone_number": "703-828-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PAIN AND ADDICTION CONSULTANTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "DIWAN",
        "authorized_official_first_name": "ASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-828-6475",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Virginia Support Services, P.C.
• Virginia Women's Health Associates, LTD (Manassas OB Gyn)
• Virtuous Home Healthcare, LLC

• Addiction Medicine (Family Medicine) Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Addiction Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.