Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Virginia Pain Management Associates, LLC

Organization Pain Medicine Physician · NPI 1093995607

Northern Virginia Pain Management Associates, LLC provides Pain Medicine Physician services in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

124 Park St SE Ste 203
Vienna, VA 22180-4654 Not confirmed with CMS for 18 years — call before visiting
Phone: (703) 319-1006
Fax: (703) 319-1008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence PENDING (VA)

Record details

NPI number1093995607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corella Fenwick — Practice Administrator · (301) 668-4842
NPI enumeratedNovember 12, 2007
Last updated in NPPESNovember 12, 2007
Mailing address141 Thomas Johnson Dr, Suite 190, Frederick, MD 21702-4502