Advanzed Health Care, PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANZED HEALTH CARE, PLC

Practice address

1715 N George Mason Dr
#306
Arlington, VA 22205-3609

Phone

(703) 276-0630

NPI assigned

Nov 3, 2006

Organization subpart

No

Name

Dr. Ralph Michael Amedeo, MD

Title

Managing Partner

Phone

(703) 276-0630

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2008.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962581637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "#306",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-276-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "#306",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-276-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANZED HEALTH CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "AMEDEO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-276-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST ID",
            "identifier": "6496",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMEDEO NPI",
            "identifier": "1558369991",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR DREGER NPI #",
            "identifier": "1386643385",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5846358",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANZED HEALTH CARE NPI",
            "identifier": "1962581637",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5874319",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.