ANNANDALE GERONTOLOGY CLINIC – NPI #1932619210
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

ANNANDALE GERONTOLOGY CLINIC is a provider located in ANNANDALE, VA. NPPES has assigned the NPI number 1932619210 to ANNANDALE GERONTOLOGY CLINIC on October 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 6 years ago on Jul 01, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNANDALE GERONTOLOGY CLINIC below.

NPI Profile for
ANNANDALE GERONTOLOGY CLINIC

NPI Number
1932619210
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANNANDALE GERONTOLOGY CLINIC
Primary location
4216 EVERGREEN LN STE 121
ANNANDALE, VA 22003
Phone: (301) 893-4124 Fax: (703) 662-6165
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JIHO CHOI
OWNER/STAFF PHYSICIAN
Phone: (301) 893-4124
Updated
Certification Date
Jul 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
VA 0101252858

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.