PRIVIA MEDICAL GROUP, LLC (NPI# 1548717135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548717135 |
Entity Type | Organization |
Organization Name | PRIVIA MEDICAL GROUP, LLC |
Other Organization Name | THE WASHINGTON PAIN CENTER |
Practice Address |
3301 New Mexico Ave Nw Suite 346 Washington DC 20016-3622 |
Mailing Address |
950 N Glebe Rd Ste 700 Arlington VA 22203-4173 |
Practice Telephone | 5713668850 |
Enumeration Date | 2016-09-01 |
Last Update Date | 2020-03-05 |
Authorized Official Name | MAUREEN CLANCY (SENIOR VICE PRESIDENT) |
Authorized Official Telephone | 5713668850 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
The Washington Pain Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154961316 | Privia Medical Group, LLC | Internal Medicine | 24560 Southpoint Dr Ste 200, Aldie, VA 20105-3505 | 2020-01-15 |
1558919134 | Privia Medical Group, LLC | Clinic/Center | 104a E Broad St Ste A, Falls Church, VA 22046-4501 | 2019-08-28 |
1013042480 | Privia Medical Group, LLC | Pediatrics | 950 N Glebe Rd, Suite 4000, Arlington, VA 22203-1824 | 2007-02-23 |
1861099541 | Privia Medical Group, LLC | Family Medicine | 14300 Gallant Fox Ln Ste 222, Bowie, MD 20715-4033 | 2020-10-06 |
1962053306 | Privia Medical Group, LLC | Podiatrist | 8988 Lorton Station Blvd Ste 100, Lorton, VA 22079-4757 | 2019-09-26 |
1316598758 | Privia Medical Group, LLC | Podiatrist | 8109 Hinson Farm Rd Ste 504, Alexandria, VA 22306-3411 | 2019-09-26 |
1225689698 | Privia Medical Group, LLC | Podiatrist | 6128 Brandon Ave Ste 201, Springfield, VA 22150-2693 | 2019-09-26 |
1093251209 | Privia Medical Group, LLC | Family Medicine | 950 N Glebe Rd, Suite 4000, Arlington, VA 22203-1824 | 2017-01-11 |
1881138261 | Privia Medical Group, LLC | Internal Medicine | 1616 Forest Dr, Suite 1, Annapolis, MD 21403-1019 | 2016-12-05 |
1265975924 | Privia Medical Group, LLC | Internal Medicine | 7625 Wisconsin Ave, Suite 101, Bethesda, MD 20814-6512 | 2016-11-29 |
Street Address |
3301 NEW MEXICO AVE NW SUITE 346 |
City | WASHINGTON |
State | DC |
Zip Code | 20016-3622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639172174 | Joshua Shigeru Yamamoto | Internal Medicine | 3301 New Mexico Ave Nw, Ste 202, Washington, DC 20016-3627 | 2005-05-30 |
1508357906 | Julie Bullard Smallman | Clinical Neuropsychologist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2018-05-22 |
1790200715 | Roshni Rao | Clinical Neuropsychologist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2017-08-10 |
1326562000 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2017-08-03 |
1518401751 | Kathleen Ann Hughes | Physical Therapist | 3301 New Mexico Ave Nw, Suite 318, Washington, DC 20016-3622 | 2016-12-07 |
1710432810 | Professional Sportscare & Rehab, LLC | Physical Therapist | 3301 New Mexico Ave Nw, Ste 250, Washington, DC 20016-3622 | 2016-08-18 |
1851759849 | Julianne Auman | Physical Therapist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2016-02-04 |
1316383151 | Sarah Pozniak | Internal Medicine | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2013-05-20 |
1588914980 | Foxhall Medicine, Pllc | Internal Medicine | 3301 New Mexico Ave Nw, Suite 202, Washington, DC 20016-3622 | 2012-09-12 |
1578812921 | Daisy Pascualvaca | Clinical Neuropsychologist | 3301 New Mexico Ave Nw, Suite 221, Washington, DC 20016-3622 | 2012-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
Find all providers in zip 20016 |
Taxonomy Code | 208VP0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Pain Medicine |
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316437775 | Spot Script Inc | Pain Medicine | 1155 F St Nw Ste 1050, Washington, DC 20004 | 2018-05-11 |
1861450751 | Keystone Anesthesia Consultants, Ltd | Pain Medicine | 80 Landings Dr Ste 202, Washington, PA 15301-9408 | 2006-05-02 |
1083005987 | Pamlico Family Medicine & Wellness Center, Pllc | Pain Medicine | 1203 Carolina Ave, Washington, NC 27889-3571 | 2015-02-12 |
City | WASHINGTON |
Zip Code | 20016 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.