| Nova Wound Care, P.c. | |
|
3700 Joseph Siewick Dr 303 Fairfax VA 22033-1744 | |
| (703) 664-8025 | |
| (703) 652-8470 |
| Full Name | Nova Wound Care, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3700 Joseph Siewick Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Timothy R Lapham (OWNER/PRESIDENT) |
| Authorized Official Contact | 7038762710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Wound Care, P.c. 115 Beulah Rd Ne 100d Vienna VA 22180-4749 Ph: (703) 652-4251 | Nova Wound Care, P.c. 3700 Joseph Siewick Dr 303 Fairfax VA 22033-1744 Ph: (703) 664-8025 |
| NPI Number | 1063816155 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 03/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063816155 | NPI | - | NPPES |
| 1255673943 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101240684 (Virginia) | Primary |
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 |