| |
14087 Richmond Highway Woodbridge VA 22191 | |
(571) 300-8000 | |
(571) 300-8001 |
Full Name | |
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Speciality | Family Medicine |
Location | 14087 Richmond Highway, Woodbridge, Virginia |
Authorized Official Name and Position | Jessica Lynn Kennedy (PRACTICE AREA MANGER) |
Authorized Official Contact | 5403123230 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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14087 Richmond Highway Woodbridge VA 22191 Ph: (571) 300-8000 | 14087 Richmond Highway Woodbridge VA 22191 Ph: (571) 300-8000 |
NPI Number | 1790478782 |
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Provider Enumeration Date | 05/26/2023 |
Last Update Date | 12/27/2024 |
Medicare PECOS PAC ID | 0648717512 |
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Medicare Enrollment ID | O20240809000294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790478782 | NPI | - | NPPES |
Provider Name | Russell A Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447205554 PECOS PAC ID: 8820032089 Enrollment ID: I20050617000668 |
Provider Name | Valerie Jaskowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588853824 PECOS PAC ID: 4880774611 Enrollment ID: I20080107000593 |
Provider Name | Angela Rajesh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760635502 PECOS PAC ID: 4880756162 Enrollment ID: I20081219000544 |
Provider Name | Shahid Aman Waraich |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225296502 PECOS PAC ID: 4880758499 Enrollment ID: I20090812000576 |
Provider Name | David A Duncan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427041656 PECOS PAC ID: 5991837262 Enrollment ID: I20100722000143 |
Provider Name | Constantine N Chienku |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831139336 PECOS PAC ID: 4385829902 Enrollment ID: I20110426000300 |
Provider Name | Cynthia Robbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457874786 PECOS PAC ID: 0749554798 Enrollment ID: I20180910000433 |
Provider Name | Angela A Fasanella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043768682 PECOS PAC ID: 9234427709 Enrollment ID: I20190401000093 |
Provider Name | Tishambay Denise Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598093072 PECOS PAC ID: 8820322977 Enrollment ID: I20190625000578 |
Provider Name | Hanna Tokon-yilma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508217498 PECOS PAC ID: 3274811765 Enrollment ID: I20200224000480 |
Provider Name | Kofi A Frimpong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437690583 PECOS PAC ID: 9133498470 Enrollment ID: I20200813001539 |
Provider Name | Zeina Al Saadi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790394492 PECOS PAC ID: 2163842303 Enrollment ID: I20201111001418 |
Provider Name | Katina Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023628534 PECOS PAC ID: 2668884040 Enrollment ID: I20201208002179 |
Provider Name | Pawanpreet Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861017972 PECOS PAC ID: 1557775418 Enrollment ID: I20210209002055 |
Provider Name | Leiling Chen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174298400 PECOS PAC ID: 1951709674 Enrollment ID: I20211011003100 |
Provider Name | Ana Akhtar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447833363 PECOS PAC ID: 2163828278 Enrollment ID: I20220217000222 |
Provider Name | Alphonse Akuo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497252845 PECOS PAC ID: 0345583605 Enrollment ID: I20221221003132 |
Provider Name | Olguerline Lamousnery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356756068 PECOS PAC ID: 9739559048 Enrollment ID: I20230103001047 |
Provider Name | Afua Acheampong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942996665 PECOS PAC ID: 8325401771 Enrollment ID: I20230831004092 |
Provider Name | Tyris D Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871169664 PECOS PAC ID: 3274929690 Enrollment ID: I20240522001924 |
Potomac Pediatrics, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 510, Woodbridge, VA 22191 Phone: 703-730-5437 Fax: 703-730-5443 | |
Woodbridge Infertility Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14904 Jefferson Davis Hwy, Davis Highway, Woodbridge, VA 22191 Phone: 703-494-0064 Fax: 703-494-0384 | |
Mednovations Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1712 Financial Loop, Woodbridge, VA 22192 Phone: 571-989-4134 | |
Woodbridge Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-4116 Fax: 703-497-0051 | |
Kevin Nguyen Dds Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14130 Noblewood Plz, 207, Woodbridge, VA 22193 Phone: 703-878-9000 |