Active NPI
Virginia Integrative Medical LLC
- Health Service Clinic/Center
- Winchester, VA
National Provider Identifier
1982061297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 0104556472
- Legal business name
- VIRGINIA INTEGRATIVE MEDICAL LLC
- Doing business as
- Virginia Integrative Medical LLC
- Practice address
- 125 Prosperity Dr
Suite 500
Winchester, VA 22602-5385 - Phone
- (540) 550-3656
- Fax
- (540) 868-0166
- NPI assigned
- Jan 19, 2016
- Last updated
- Jan 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abel Costas Borromeo V, DC
- Title
- Managing Member
- Phone
- (540) 550-3656
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 0104556472 | VA | Primary |
Addresses
Primary practice location
125 Prosperity Dr
Suite 500
Winchester, VA 22602-5385
Mailing address
125 Prosperity Dr
Suite 500
Winchester, VA 22602-5385
Phone (540) 550-3656
Other names 1
- Virginia Integrative Medical LLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Winchester, VA
- NPI 1174572283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453161600000",
"number": "1982061297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PROSPERITY DR",
"address_2": "SUITE 500",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226025385",
"telephone_number": "540-550-3656",
"fax_number": "540-868-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PROSPERITY DR",
"address_2": "SUITE 500",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226025385",
"telephone_number": "540-550-3656",
"fax_number": "540-868-0166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA INTEGRATIVE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A",
"authorized_official_last_name": "BORROMEO",
"authorized_official_first_name": "ABEL",
"authorized_official_middle_name": "COSTAS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "540-550-3656",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "V",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "VA",
"license": "0104556472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Virginia Integrative Medical LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winchester, VA
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 00393)
- Virginia Dental Implant Institute
- Virginia Healthcare Services of Fredericksburg, LLC
- Virginia Healthcare Services of the Valley LLC
- Virginia Integrative Medical
- Ajay Virmani, MD
- Anthony J Viti, MD
- Trieu Thi-Hai Vo
- John Bryant Volinsky, MD
- Kelly L Vollmers, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.