1811944143 NPI number — WILLIAM GEORGE HAMILTON M.D.

Table of content: WILLIAM GEORGE HAMILTON M.D. (NPI 1811944143)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811944143 NPI number — WILLIAM GEORGE HAMILTON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMILTON
Provider First Name:
WILLIAM
Provider Middle Name:
GEORGE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811944143
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2445 ARMY NAVY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22206-2905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-892-6500
Provider Business Mailing Address Fax Number:
703-799-5989

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2501 PARKERS LN
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22306-3209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-892-6500
Provider Business Practice Location Address Fax Number:
703-799-5989
Provider Enumeration Date:
05/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207XS0114X , with the licence number:  0101232484 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 526884 . This is a "NCPPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 148820100 . This is a "DEPT OF LABOR ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 25090065 . This is a "BLUE CROSS BLUE SHIELD ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: VA0007310 . This is a "CHAMPUS ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 277586 . This is a "ANTHEM ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7572399 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2107167 . This is a "MAMSI ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4540894 . This is a "CIGNA ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3291800 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".




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