Provider Demographics
NPI:1295829539
Name:RICHARD L. STOKES, M.D. & ALFREDA JONES, M.D., PC
Entity Type:Organization
Organization Name:RICHARD L. STOKES, M.D. & ALFREDA JONES, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-437-0001
Mailing Address - Street 1:1830 TOWN CENTER DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3292
Mailing Address - Country:US
Mailing Address - Phone:703-437-0001
Mailing Address - Fax:703-787-5739
Practice Address - Street 1:1830 TOWN CENTER DR
Practice Address - Street 2:SUITE 207
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3292
Practice Address - Country:US
Practice Address - Phone:703-437-0001
Practice Address - Fax:703-787-5739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028194174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006267815Medicaid
VA006231322Medicaid
VA006231322Medicaid
VAC61688Medicare UPIN
VA006267815Medicaid
VA006231322Medicaid