MEDICARE: SPRINGFIELD MEDICAL CLINIC

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	207Q00000X	Family Medicine Physician	0101038129	VA

General Provider Information

NPI Number	:	1043336639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGFIELD MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	6365 ROLLING MILL PL
Second Line	:	SUITE 103
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-2353
Country	:	US
Telephone Number	:	703-569-7420
Fax Number	:	301-934-9321

Provider Business Practice Location Address
First Line	:	6365 ROLLING MILL PL
Second Line	:	SUITE 103
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-2353
Country	:	US
Telephone Number	:	703-569-7420
Fax Number	:	301-934-9321

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROSARIO C FERRER
Credential	:	MD
Telephone Number	:	703-569-7420

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1003852914 — FRED MEYER STORES INC
Practice Location Address:

650 Q ST
SPRINGFIELD, OR
97477-2353

Practice Phone: 541-741-5183
Practice Fax: 541-741-5180

1164795258 — MR. ROBERT L SILBERNAGEL RPH
Practice Location Address:

650 Q ST
SPRINGFIELD, OR
97477-2353

Practice Phone: 541-741-5183
Practice Fax: 541-741-5180

1710250790 — DR. RAMIN JABERABO ANSARI PHARMD
Practice Location Address:

650 Q ST
SPRINGFIELD, OR
97477-2353

Practice Phone: 541-741-5183
Practice Fax:

1649544651 — MR. HARRY MALLCHOK RPH
Practice Location Address:

650 Q ST
SPRINGFIELD, OR
97477-2353

Practice Phone: 541-741-5183
Practice Fax:

1841717345 — DR. JONATHAN VONK MD
Practice Location Address:

800 E CARPENTER ST
SPRINGFIELD, IL
62769-2353

Practice Phone: 217-544-6464
Practice Fax:

Directions to “SPRINGFIELD MEDICAL CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.