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NPI Code Detail

MEDICARE: ORIN L EDDY M.D.

MEDICARE: ORIN L EDDY 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
1207P00000XEmergency Medicine Physician0101232017VA
2207P00000XEmergency Medicine PhysicianC55212CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2930123423OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831149574
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORIN L EDDY M.D.
Provider Business Mailing Address
First Line : 4375 FAIR LAKES CT
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-4234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4375 FAIR LAKES CT
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-4234
Country : US
Telephone Number : 571-432-2735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 12/18/2025

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Directions to “ ORIN L EDDY M.D.” Practice Location

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