Organization Active NPI

The Devana Group LLC

  • Anesthesiology Physician
  • Dumfries, VA
National Provider Identifier
1962976043
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
THE DEVANA GROUP LLC
Practice address
17739 Main St Ste 110
Dumfries, VA 22026-3256
Phone
(703) 649-2787
Fax
(703) 221-6569
NPI assigned
Jan 11, 2019
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Dr. Robert Davis, MDNPI 1831490051
Title
Partner
Phone
(703) 338-4895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

17739 Main St Ste 110
Dumfries, VA 22026-3256

Mailing address

9532 Liberia Ave Ste 118
Manassas, VA 20110-1719
Phone (703) 338-4895

National Provider Directory

National Provider Directory

Locations

9532 Liberia Ave
Manassas, VA 20110

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1962976043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9532 LIBERIA AVE STE 118",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201101719",
            "telephone_number": "703-338-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17739 MAIN ST STE 110",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220263256",
            "telephone_number": "703-649-2787",
            "fax_number": "703-221-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVANA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "703-338-4895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.