| Dr John B Cleary, MD | |
|
3650 Joseph Siewick Dr, Ste 307, Fairfax, VA 22033-1715 | |
| (703) 391-8804 | |
| (703) 391-5659 |
| Full Name | Dr John B Cleary |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 3650 Joseph Siewick Dr, Fairfax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285636514 | NPI | - | NPPES |
| 6077277 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 0101026305 (Virginia) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 0101026305 (Virginia) | Primary |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John B Cleary, MD 3650 Joseph Siewick Dr, Ste 307, Fairfax, VA 22033-1715 Ph: (703) 391-8804 | Dr John B Cleary, MD 3650 Joseph Siewick Dr, Ste 307, Fairfax, VA 22033-1715 Ph: (703) 391-8804 |
Shivangi Vachhani, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033 Phone: 877-511-4625 Fax: 703-204-9006 | |
Dr. Raymund S Cuevo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-0241 | |
Dr. Michael Maitland, M.D., PH.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-1601 | |
Aswani Kumar Suthrave, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600 | |
Nader H Balba, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031 Phone: 703-698-8960 Fax: 571-494-5794 | |
Waseem Ismail Aziz, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3700 Joseph Siewick Dr, Suite 401, Fairfax, VA 22033 Phone: 703-281-1023 Fax: 703-620-2331 | |
Rona Harthill Earle, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031 Phone: 703-573-4072 Fax: 703-572-2153 |