| Mt Vernon Internal Medicine | |
|
8109 Hinson Farm Rd Suite 504 Alexandria VA 22306-3415 | |
| (703) 780-2802 | |
| Not Available |
| Full Name | Mt Vernon Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 8109 Hinson Farm Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Albert Herrera (PRESIDENT) |
| Authorized Official Contact | 7037802800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Vernon Internal Medicine 8109 Hinson Farm Rd Suite 504 Alexandria VA 22306-3415 Ph: (703) 780-2802 | Mt Vernon Internal Medicine 8109 Hinson Farm Rd Suite 504 Alexandria VA 22306-3415 Ph: (703) 780-2802 |
| NPI Number | 1679522338 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 07/10/2010 |
| Medicare PECOS PAC ID | 4587643010 |
|---|---|
| Medicare Enrollment ID | O20040717000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679522338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 102363220 (Virginia) | Primary |
| Provider Name | Valerie Chrosniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982666590 PECOS PAC ID: 8325017643 Enrollment ID: I20041001000908 |
| Provider Name | Kathleen E Mares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720038862 PECOS PAC ID: 7810941903 Enrollment ID: I20050311000083 |
| Provider Name | Jill Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235192865 PECOS PAC ID: 6608891486 Enrollment ID: I20051011000469 |
| Provider Name | Virginia Elesho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770545394 PECOS PAC ID: 3971528506 Enrollment ID: I20051012000493 |
| Provider Name | Brenda Rolander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992718118 PECOS PAC ID: 9234136888 Enrollment ID: I20061025000096 |
| Provider Name | Sonya N Bethel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063466076 PECOS PAC ID: 4981790540 Enrollment ID: I20071012000541 |
| Provider Name | Albert A Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497717250 PECOS PAC ID: 9436158813 Enrollment ID: I20080305000104 |
| Provider Name | Simon W Lwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528278025 PECOS PAC ID: 8022106061 Enrollment ID: I20081120000743 |
| Provider Name | Raymond J Murow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629171939 PECOS PAC ID: 1153485016 Enrollment ID: I20090122000120 |
| Provider Name | Carleen Tylenda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750343547 PECOS PAC ID: 5597764910 Enrollment ID: I20101008000508 |
| Provider Name | Merica Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083811855 PECOS PAC ID: 8729260302 Enrollment ID: I20110303000853 |
| Provider Name | Stephanie Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104888973 PECOS PAC ID: 9537168950 Enrollment ID: I20110516000906 |
| Provider Name | Lauren Joanna Jost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669620084 PECOS PAC ID: 4587841556 Enrollment ID: I20110601000193 |
| Provider Name | Gary M Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609872993 PECOS PAC ID: 3577737519 Enrollment ID: I20120112000031 |
| Provider Name | Lubna M Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245377373 PECOS PAC ID: 6002910809 Enrollment ID: I20120925000373 |
| Provider Name | Luiz E Malini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861603532 PECOS PAC ID: 0547307027 Enrollment ID: I20130110000057 |
| Provider Name | Tayseer Aldaghlas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427334747 PECOS PAC ID: 6901051788 Enrollment ID: I20130328000206 |
| Provider Name | Kelley Manahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700218310 PECOS PAC ID: 0042454217 Enrollment ID: I20130910000735 |
| Provider Name | Ana M Born |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699934489 PECOS PAC ID: 6901078716 Enrollment ID: I20140206001416 |
| Provider Name | Akber Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578546941 PECOS PAC ID: 3274555024 Enrollment ID: I20140312001065 |
| Provider Name | Jonathan L Siddon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003194218 PECOS PAC ID: 1759512858 Enrollment ID: I20140722000930 |
| Provider Name | Leslianne S Grendysz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346470598 PECOS PAC ID: 5890831861 Enrollment ID: I20140730000239 |
| Provider Name | Patrisha Lm Lultschik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649696295 PECOS PAC ID: 4789801564 Enrollment ID: I20140819001659 |
| Provider Name | Catherine E Diakiwsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467869834 PECOS PAC ID: 6002034923 Enrollment ID: I20140910000780 |
| Provider Name | Hoa Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851700678 PECOS PAC ID: 5092935031 Enrollment ID: I20140925001566 |
| Provider Name | Rodeline Dalge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316356728 PECOS PAC ID: 3577783521 Enrollment ID: I20140925001833 |
| Provider Name | Laura Carolina Nieves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073808994 PECOS PAC ID: 4688997224 Enrollment ID: I20150618000045 |
| Provider Name | Melissa Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194242610 PECOS PAC ID: 6204102262 Enrollment ID: I20171019001883 |
| Provider Name | Dominique R Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487053716 PECOS PAC ID: 4880951714 Enrollment ID: I20171201001461 |
| Provider Name | Alma C Tobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598277139 PECOS PAC ID: 3870853625 Enrollment ID: I20180216000374 |
| Provider Name | Romona Devi Satchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295025096 PECOS PAC ID: 8921223199 Enrollment ID: I20180710000585 |
| Provider Name | Bridget Haley Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821575879 PECOS PAC ID: 0042569147 Enrollment ID: I20180823000005 |
| Provider Name | Lexi E Culleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336626142 PECOS PAC ID: 6002165966 Enrollment ID: I20180827000495 |
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