Provider Demographics
NPI:1811204050
Name:INOVA PHYSICIAN PARTNERS, INC. - SPECIALISTS
Entity Type:Organization
Organization Name:INOVA PHYSICIAN PARTNERS, INC. - SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO (EVP, CMO)
Authorized Official - Prefix:MR
Authorized Official - First Name:LORING
Authorized Official - Middle Name:S
Authorized Official - Last Name:FLINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-208-5936
Mailing Address - Street 1:POB 22845
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:MD
Mailing Address - Zip Code:04915-4479
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:224 CORNWALL ST NW
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2701
Practice Address - Country:US
Practice Address - Phone:703-777-3262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty