| General Internal Medicine Group | |
|
3022 Williams Drive Suite 300 Fairfax VA 22031 | |
| (703) 573-9800 | |
| (703) 573-2959 |
| Full Name | General Internal Medicine Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3022 Williams Drive, Fairfax, Virginia |
| Authorized Official Name and Position | Arthur A Rubin (PRESIDENT AND MEDICAL ADVISOR) |
| Authorized Official Contact | 7035739800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Internal Medicine Group 3022 Williams Drive Suite 300 Fairfax VA 22031 Ph: (703) 573-9800 | General Internal Medicine Group 3022 Williams Drive Suite 300 Fairfax VA 22031 Ph: (703) 573-9800 |
| NPI Number | 1497856793 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 01/24/2014 |
| Medicare PECOS PAC ID | 6507857190 |
|---|---|
| Medicare Enrollment ID | O20040521000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497856793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward M Druy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932170388 PECOS PAC ID: 6507764172 Enrollment ID: I20031222000270 |
| Provider Name | Frank S Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912997115 PECOS PAC ID: 0840181004 Enrollment ID: I20040324001454 |
| Provider Name | Louis K Zweig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730197591 PECOS PAC ID: 0042201642 Enrollment ID: I20040521000792 |
| Provider Name | Cecily D Havert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700998309 PECOS PAC ID: 2466434519 Enrollment ID: I20040603000243 |
| Provider Name | Alicia Marie Cartagena |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066657 PECOS PAC ID: 3870576689 Enrollment ID: I20040611000858 |
| Provider Name | Matthew T Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366555401 PECOS PAC ID: 2668527193 Enrollment ID: I20090903000729 |
| Provider Name | Brickte L Debass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861500050 PECOS PAC ID: 4880729011 Enrollment ID: I20100312000901 |
| Provider Name | Ellie Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790893980 PECOS PAC ID: 8628103322 Enrollment ID: I20100319000701 |
| Provider Name | Anjali Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992713754 PECOS PAC ID: 4385779933 Enrollment ID: I20100322000077 |
| Provider Name | Ellen M Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518075704 PECOS PAC ID: 7719012392 Enrollment ID: I20100322000389 |
| Provider Name | Kenneth J Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669582318 PECOS PAC ID: 7012042419 Enrollment ID: I20100323000814 |
| Provider Name | Jennifer L Gorrelick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457399230 PECOS PAC ID: 9335232750 Enrollment ID: I20101117000427 |
| Provider Name | Brian Neal Glick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790792539 PECOS PAC ID: 8527249473 Enrollment ID: I20110224000696 |
| Provider Name | Christiane G Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316283914 PECOS PAC ID: 3375788581 Enrollment ID: I20130318000040 |
| Provider Name | Fola O Oluwehinmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912017690 PECOS PAC ID: 6204811607 Enrollment ID: I20130617000378 |
| Provider Name | Kathleen Sharon Rodgers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346526191 PECOS PAC ID: 8123253960 Enrollment ID: I20131101000409 |
| Provider Name | Irene Jaffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629073432 PECOS PAC ID: 9537150230 Enrollment ID: I20140118000029 |
| Provider Name | Andrew Cureton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467866020 PECOS PAC ID: 2264658145 Enrollment ID: I20170802002988 |
| Provider Name | Xiaoxu Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457607988 PECOS PAC ID: 1153643846 Enrollment ID: I20171011000450 |
| Provider Name | Susan Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932195948 PECOS PAC ID: 9335111863 Enrollment ID: I20171115000366 |
| Provider Name | Jennifer Schwenk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346635182 PECOS PAC ID: 4688979883 Enrollment ID: I20180731000076 |
| Provider Name | Kate E Kinnaird |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104024751 PECOS PAC ID: 4284811910 Enrollment ID: I20190802000141 |
| Provider Name | Michele Lynn Jorstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205011467 PECOS PAC ID: 7517910383 Enrollment ID: I20200225001200 |
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