| |
8316 Arlington Blvd Ste 206 Fairfax VA 22031-5216 | |
(800) 762-6282 | |
Not Available |
Full Name | |
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Speciality | Obstetrics & Gynecology |
Location | 8316 Arlington Blvd Ste 206, Fairfax, Virginia |
Authorized Official Name and Position | Tammy Muir (COMPLIANCE OFFICER) |
Authorized Official Contact | 4109105959 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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9755 Patuxent Woods Dr Ste 100 Columbia MD 21046-2286 Ph: () - | 8316 Arlington Blvd Ste 206 Fairfax VA 22031-5216 Ph: (800) 762-6282 |
NPI Number | 1720448442 |
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Provider Enumeration Date | 02/24/2016 |
Last Update Date | 12/08/2023 |
Medicare PECOS PAC ID | 7517366149 |
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Medicare Enrollment ID | O20211004001238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720448442 | NPI | - | NPPES |
Provider Name | Carl Lord |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063462349 PECOS PAC ID: 1759447311 Enrollment ID: I20090305000488 |
Provider Name | Ilya Rabkin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760822324 PECOS PAC ID: 9335360288 Enrollment ID: I20141020000062 |
Provider Name | Anil Ashok Bajnath |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730568684 PECOS PAC ID: 4385959691 Enrollment ID: I20180718000813 |
Provider Name | Annie Ressalam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922392752 PECOS PAC ID: 4284933169 Enrollment ID: I20180822001669 |
Provider Name | Samantha Suller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962975474 PECOS PAC ID: 3476892944 Enrollment ID: I20190306001922 |
Provider Name | Ina Grundmann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093989097 PECOS PAC ID: 6406255058 Enrollment ID: I20211004001618 |
Provider Name | Jennifer Schmidt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700868320 PECOS PAC ID: 0749679561 Enrollment ID: I20211117002407 |
Provider Name | Ashley Beccaloni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285227355 PECOS PAC ID: 7416350905 Enrollment ID: I20220110000067 |
Provider Name | Narayana Pennington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275200263 PECOS PAC ID: 1951791912 Enrollment ID: I20220228000043 |
Provider Name | Amelia Jo Carnohan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306579255 PECOS PAC ID: 8224404033 Enrollment ID: I20221019002479 |
Provider Name | Garrett Peed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699497057 PECOS PAC ID: 9032586219 Enrollment ID: I20221102000946 |
Provider Name | Soraya Salehi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235830845 PECOS PAC ID: 7517316763 Enrollment ID: I20231213000782 |
Provider Name | Sadia Ali |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417395971 PECOS PAC ID: 6709019847 Enrollment ID: I20240812002437 |
Provider Name | Samantha Powers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790397263 PECOS PAC ID: 5193187706 Enrollment ID: I20240820004377 |
Provider Name | Viridiana Fuentes Rosales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407530942 PECOS PAC ID: 5395286991 Enrollment ID: I20240923004118 |
Provider Name | Michelle Kavall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396500807 PECOS PAC ID: 9032656327 Enrollment ID: I20241002000493 |
Provider Name | Carolyn Cerswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437889623 PECOS PAC ID: 9032576582 Enrollment ID: I20241002004206 |
Provider Name | Shreya Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033798012 PECOS PAC ID: 5496163164 Enrollment ID: I20241017000788 |
Provider Name | Allison Crane |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144480823 PECOS PAC ID: 6204904048 Enrollment ID: I20241030004594 |
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