Provider Demographics
NPI:1992709265
Name:LEVINSTONE, ALAN R (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:LEVINSTONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5895 TRINITY PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1996
Mailing Address - Country:US
Mailing Address - Phone:703-802-2004
Mailing Address - Fax:703-802-2113
Practice Address - Street 1:5895 TRINITY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1996
Practice Address - Country:US
Practice Address - Phone:703-802-2004
Practice Address - Fax:703-802-2113
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-02
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-049277207R00000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA832732OtherMDIPA OPTIMUM CHOICE
VA110215875OtherMEDICARE RAILROAD
VA201662OtherANTHEM
VA607850-8Medicaid
VA0101-049277OtherLICENSE
VAB518OtherCAPITAL CARE
VA017628C61Medicare PIN
VA110215875OtherMEDICARE RAILROAD
VA832732OtherMDIPA OPTIMUM CHOICE
VA607850-8Medicaid
VAC08418Medicare PIN