OLD DOMINION MEDICAL CENTER, P.C.
NPI 1104990167
Family Medicine in Mclean, VA

Active since November 20, 2006
6715 WHITTIER AVENUE, SUITE 100, MCLEAN, VA 22101(703) 356-5700(703) 448-8211 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Old Dominion Medical Center, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD DOMINION MEDICAL CENTER, P.C. (NPI 1104990167) is a healthcare organization registered as a family medicine in Mclean, Virginia and active in the NPI registry since November 2006. The organization lists Allen Bernard Horne, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1104990167
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLD DOMINION MEDICAL CENTER, P.C.
Location Address6715 WHITTIER AVENUE, SUITE 100Mclean, VA 22101
Mailing Address6715 Whittier Avenue, Suite 100Mclean, VA 22101 · (703) 356-5700 · Fax (703) 448-8211
Fax(703) 448-8211
Organization SubpartNo
Authorized OfficialAllen Bernard HornePhysician Owner · (703) 356-5700
Enumeration DateNovember 20, 2006
Last NPPES UpdateFebruary 4, 2016
NPI 1104990167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6715 WHITTIER AVENUE, Mclean, VA 22101

Other Identifiers 1

Medicare UPINC61931

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
6715 WHITTIER AVENUE, 100
MCLEAN, VA 22101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Dominion Medical Center, P.C.'s NPI number?

The NPI number for Old Dominion Medical Center, P.C. is 1104990167. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Old Dominion Medical Center, P.C. located?

Old Dominion Medical Center, P.C. is located at 6715 Whittier Avenue Suite 100, Mclean, VA 22101. The listed phone number is (703) 356-5700.

What is Old Dominion Medical Center, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Old Dominion Medical Center, P.C. was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.