| Manassas Family Medicine Plc | |
|
8691 Stonewall Rd Manassas VA 20110-4510 | |
| (703) 368-1182 | |
| (703) 368-0247 |
| Full Name | Manassas Family Medicine Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 8691 Stonewall Rd, Manassas, Virginia |
| Authorized Official Name and Position | Vincent J. Buchinsky (MANAGING PHYSICIAN) |
| Authorized Official Contact | 7033681182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manassas Family Medicine Plc 8691 Stonewall Rd Manassas VA 20110-4510 Ph: (703) 368-1182 | Manassas Family Medicine Plc 8691 Stonewall Rd Manassas VA 20110-4510 Ph: (703) 368-1182 |
| NPI Number | 1134254154 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 07/09/2014 |
| Medicare PECOS PAC ID | 7012808223 |
|---|---|
| Medicare Enrollment ID | O20040324001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134254154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101034986 (Virginia) | Primary |
| Provider Name | Morayo O Omojokun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700887486 PECOS PAC ID: 9638104771 Enrollment ID: I20050928000403 |
| Provider Name | Nihil Chand Theodore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326049008 PECOS PAC ID: 7618902776 Enrollment ID: I20050928000589 |
| Provider Name | Shannon D Farag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322827 PECOS PAC ID: 7214112564 Enrollment ID: I20110429000624 |
| Provider Name | Elizabeth A Buchinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164427118 PECOS PAC ID: 2860653532 Enrollment ID: I20120405000745 |
| Provider Name | Vincent J Buchinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902801947 PECOS PAC ID: 6002707247 Enrollment ID: I20120406000454 |
| Provider Name | Jonathan J Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154641298 PECOS PAC ID: 8022259548 Enrollment ID: I20130725000947 |
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