ORTHO OIC ORTHOPAEDIC IMMEDIATE CARE, LLC


Address: 1701 Clarendon Blvd Ste 120, Arlington, VA 22209-4800
Phone: 7035666359

ORTHO OIC ORTHOPAEDIC IMMEDIATE CARE, LLC (NPI# 1104394766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104394766
Entity Type Organization
Organization Name ORTHO OIC ORTHOPAEDIC IMMEDIATE CARE, LLC
Practice Address 1701 Clarendon Blvd Ste 120
Arlington
VA 22209-4800
Practice Telephone 7035666359
Practice Fax Number 7035666360
Mailing Telephone 7035666359
Mailing Fax Number 7035666360
Enumeration Date 2018-11-12
Last Update Date 2020-09-08
Authorized Official Name DR. LONNIE D. DAVIS (MANAGING MEMBER)
Authorized Official Telephone 7035666359
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Office Location

Street Address 1701 CLARENDON BLVD STE 120
City ARLINGTON
State VA
Zip Code 22209-4800

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1104185776 Jelena Kecmanovic Psychologist 1655 North Fort Myer Drive, Suite 350, Arlington, VA 22209 2012-05-16
1386815371 Metropolitan Psychiatric Services Psychiatry & Neurology 1101 Arlington Boulevard, Suite 130, Arlington, VA 22209 2008-03-18
1467652966 Anne L. Minor Social Worker 1655 Fort Myer Drive, 700, Arlington, VA 22209 2007-07-23
1811040561 Jason F Favagehi Dds PC Dentist 1000 Wilson Blvd, Suite M745, Arlington, VA 22209 2007-01-18
1750479697 Mira Dental Care Pllc Dentist 1800 N Kent St, Suite 100, Arlington, VA 22209 2006-10-10
1982716015 Louis J Lavecchia Dentist 1515 Wilson Blvd., Suite 103, Arlington, VA 22209 2006-08-31
1265476022 Sheila Jahan Neuromusculoskeletal Medicine & OMM 1881 N Nash St Unit 309, Arlington, VA 22209 2006-06-15
1770553828 Paul Dimitre Garst Internal Medicine Medical Director, Tricare Regional Office North, 1700 N. Moore St., Suite 1200, Arlington, VA 22209 2006-01-23
1619274214 Samuel Leland Lashley Psychologist 1655 Fort Myer Drive, Suite 350, Arlington, VA 22209 2011-02-16
1568574648 Gregory L Lavecchia Dentist 1515 Wilson Blvd., Suite 103, Arlington, VA 22209 2006-08-31
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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1407207269 Drx Uc Watertown PC Clinic/Center 1398 Massachusetts Ave, Arlington, MA 02476-4150 2016-06-23
1770822710 American Current Care Pa Clinic/Center 511 Interstate 20 E, Arlington, TX 76018 2013-02-12
1649519836 American Current Care Pa Clinic/Center 2160 E. Lamar Blvd., Arlington, TX 76006 2013-02-07
1073702858 American Currenct Care P.a. Clinic/Center 2100 E Randol Mill Road, Arlington, TX 76011 2007-10-17
1457384190 Arlington Urgent Care, LLC Clinic/Center 764 23rd St S, Arlington, VA 22202-2420 2006-07-08
1952915365 Texas Health Behavioral Health Hospital Corinth Clinic/Center 612 E Lamar Blvd, Arlington, TX 76011-4121 2020-09-02
1295370476 Virginia Hospital Center Physician Group LLC Clinic/Center 764 23rd St S, Arlington, VA 22202-2420 2019-11-12
1770835902 Antonio P. Serrano,m.d.,p.a. Clinic/Center 100 W Pioneer Pkwy, Ste 111, Arlington, TX 76010-6131 2012-10-11
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Competitor

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City ARLINGTON
Zip Code 22209

Improve Information

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Dataset Information

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.

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