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LUIS E VIDAL PA
NPI 1902091986
Physician Assistant in Fort Belvoir, VA

Active since September 12, 2007
9300 DEWITT LOOP, FORT BELVOIR, VA 22060(571) 231-0374 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Jan 30, 2023, Apr 26, 2021 (3 updates tracked since 2021).

About Luis E Vidal Pa NPPES

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

LUIS E VIDAL PA (NPI 1902091986) is an individual physician assistant in Fort Belvoir, Virginia, licensed in Virginia (0110008968) and active in the NPI registry since September 2007. He maintains a secondary practice location in Fort Campbell.

NPPES Registry Identity

NPI1902091986
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLUIS E VIDALCredential: PA
Location Address9300 DEWITT LOOPFort Belvoir, VA 22060-5285
Mailing Address9300 Dewitt LoopFort Belvoir, VA 22060-5285 · (571) 231-0374
Phone(571) 231-0374
Sole ProprietorNo
Enumeration DateSeptember 12, 2007
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1902091986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110008968
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9300 DEWITT LOOP, Fort Belvoir, VA 22060
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Secondary Practice Location 1

Location 1650 Joel DrFort Campbell, KY 42223-5318 · Phone (270) 798-8372 · Fax (270) 956-0180

Other Identifiers 1

Other0110008968VA · Virginia State Board Of Medicine Physician Assistant License

Other Providers at the Same Location NPPES 20

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

DR. ASHLEY L MALTEZ-LAURIENTI PSY.D.
Counselor (Mental Health)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (712) 313-2245
MEGAN ANNE KELLY COTA
Occupational Therapy Assistant
9300 DEWITT LOOP
FT BELVOIR, VA 22060
Fairfax County (571) 231-1321
MS. SHANNON NOELLE FULCROD LCSW, CSAC, MAC
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1200
CALE WRIGHT PSYD
Psychologist (Clinical Child & Adolescent)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-0524
SPENCER OSBOURN
Psychiatry & Neurology (Neurology)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-2966
HEATHER R BARAL
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
UMAR KHAN
Orthopaedic Surgery
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
DAVID PITTS JR. DO
General Practice
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1803

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 Luis Vidal's NPI number?

The NPI number for Luis Vidal is 1902091986. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Luis Vidal located?

Luis Vidal practices at 9300 Dewitt Loop, Fort Belvoir, VA 22060. The listed phone number is (571) 231-0374.

What is Luis Vidal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Luis Vidal was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.