| Mediwounds International Inc | |
|
10701 Main St Fairfax VA 22030-6904 | |
| (703) 855-1771 | |
| Not Available |
| Full Name | Mediwounds International Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10701 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Tayseer Aldaghlas (CEO) |
| Authorized Official Contact | 7038551771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediwounds International Inc 2776 S Arlington Mill Dr Unit 505 Arlington VA 22206-3402 Ph: (703) 855-1771 | Mediwounds International Inc 10701 Main St Fairfax VA 22030-6904 Ph: (703) 855-1771 |
| NPI Number | 1164056271 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Medicare PECOS PAC ID | 5698196954 |
|---|---|
| Medicare Enrollment ID | O20200522001447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164056271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tayseer Aldaghlas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427334747 PECOS PAC ID: 6901051788 Enrollment ID: I20130328000206 |
| Provider Name | Yael E Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164029823 PECOS PAC ID: 0345655544 Enrollment ID: I20210222001691 |
| Provider Name | Melissa Vann-combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457696494 PECOS PAC ID: 2466846829 Enrollment ID: I20220228002734 |
| Provider Name | Mercy A Sekyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013614189 PECOS PAC ID: 1658744362 Enrollment ID: I20230302000805 |
| Provider Name | Allyson Kay Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235606500 PECOS PAC ID: 2961748116 Enrollment ID: I20230314000382 |
Neighborhood Health At Merrifield Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-535-5568 Fax: 703-299-1794 | |
Fair Oaks Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10721 Main St, #1500, Fairfax, VA 22030 Phone: 703-218-2970 Fax: 703-218-2965 | |
Health Connect Aco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12011 Lee Jackson Hwy, Suite 504, Fairfax, VA 22033 Phone: 703-391-2042 | |
Revive Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3998 Fair Ridge Dr Ste 270, Fairfax, VA 22033 Phone: 571-544-8110 | |
Paramount Care Physicians Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12011 Lee Jackson Memorial Hwy, Suite 230, Fairfax, VA 22033 Phone: 703-222-0002 Fax: 703-449-9890 | |
Boundless Nutrition Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13112 Moss Ranch Ln, Fairfax, VA 22033 Phone: 703-705-2720 | |
Shanmugam Mukundan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St, Suite 101, Fairfax, VA 22030 Phone: 703-349-1191 |