Healthcare Provider Details
I. General information
NPI: 1861133266
Provider Name (Legal Business Name): NEXT JOURNEY ORTHOPAEDICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2022
Last Update Date: 07/14/2024
Certification Date: 07/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8251 GREENSBORO DR STE 200
TYSONS VA
22102-3868
US
IV. Provider business mailing address
8255 GREENSBORO DR STE 150
MC LEAN VA
22102-4918
US
V. Phone/Fax
- Phone: 571-425-5393
- Fax: 301-235-1612
- Phone: 571-425-5393
- Fax: 571-441-5201
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FREDERICK
DONALD
SCOTT
JR.
Title or Position: OWNER
Credential: MD
Phone: 571-416-8244