1750303962 NPI number — MR. STEPHEN C SADDLER M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750303962 NPI number — MR. STEPHEN C SADDLER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SADDLER
Provider First Name:
STEPHEN
Provider Middle Name:
C
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750303962
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 S SHIRLINGTON RD STE 1100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22206-3605
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-892-6500
Provider Business Mailing Address Fax Number:
703-521-3415

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2800 S SHIRLINGTON RD STE 1100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22206-3605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-892-6500
Provider Business Practice Location Address Fax Number:
703-521-3415
Provider Enumeration Date:
07/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207XX0005X , with the licence number:  0101052798 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207X00000X , with the licence number: 0101052798 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 145530100 . This is a "DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00887809 . This is a "RAILRAOD MEDICARE PTAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 786175YZW . This is a "METRO MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 46950042 . This is a "CAREFIRST NCA" identifier . This identifiers is of the category "OTHER".




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