MEDICARE: VIRGINIA MEDICAL ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5686657	OTHER	VA	AETNA
2	466590	OTHER	VA	ANTHEM
3	193676203	OTHER	VA	UNITED HEALTHCARE
4	B300008	OTHER	VA	CAREFIRST BCBS
5	8132487	OTHER	VA	MAMSI

General Provider Information

NPI Number	:	1710132675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA MEDICAL ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	6128 BRANDON AVE STE 221
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2640
Country	:	US
Telephone Number	:	703-942-5460
Fax Number	:	703-942-5630

Provider Business Practice Location Address
First Line	:	6128 BRANDON AVE STE 221
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2640
Country	:	US
Telephone Number	:	703-942-5460
Fax Number	:	703-942-5630

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	DR. ANNIE T THOMAS
Credential	:	MD
Telephone Number	:	703-402-0765

Provider Enumeration Date	:	11/19/2008
Last Update Date	:	01/13/2009

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Directions to “VIRGINIA MEDICAL ASSOCIATES PLLC ” Practice Location

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