MEDICARE: DR. DEREK H. OCHIAI M.D.

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	207X00000X	Orthopaedic Surgery Physician	0101232994	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34310006	OTHER	DC	CAREFIRST BCBS
2	186921	OTHER	VA	ANTHEM BCBS
3	P00284091	OTHER	VA	RAILROAD RETIREMENT

General Provider Information

NPI Number	:	1053374116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEREK H. OCHIAI M.D.

Provider Business Mailing Address
First Line	:	1715 N GEORGE MASON DR
Second Line	:	SUITE 504
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3609
Country	:	US
Telephone Number	:	703-525-2200
Fax Number	:	703-522-2603

Provider Business Practice Location Address
First Line	:	1715 N GEORGE MASON DR
Second Line	:	SUITE 504
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3609
Country	:	US
Telephone Number	:	703-525-2200
Fax Number	:	703-522-2603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	07/17/2008

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Directions to “ DR. DEREK H. OCHIAI M.D.” Practice Location

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