| Health Works For Northern Virginia | |
|
16300 Wall Road Suite 055 Herndon VA 20171 | |
| (703) 443-2000 | |
| Not Available |
| Full Name | Health Works For Northern Virginia |
|---|---|
| Speciality | Clinic/Center |
| Location | 16300 Wall Road, Herndon, Virginia |
| Authorized Official Name and Position | Amandeep K Dhindsa (CFO) |
| Authorized Official Contact | 7034757595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Works For Northern Virginia 163 Fort Evans Rd Ne Leesburg VA 20176-4420 Ph: (703) 475-7595 | Health Works For Northern Virginia 16300 Wall Road Suite 055 Herndon VA 20171 Ph: (703) 443-2000 |
| NPI Number | 1396489753 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 07/19/2022 |
| Medicare PECOS PAC ID | 5193822930 |
|---|---|
| Medicare Enrollment ID | O20221212001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396489753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Byron O Whyte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720255649 PECOS PAC ID: 3577785492 Enrollment ID: I20190723002915 |
| Provider Name | Stephanie N Puloka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255537023 PECOS PAC ID: 5496930406 Enrollment ID: I20221215000454 |
| Provider Name | Kristen M Symansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366953218 PECOS PAC ID: 5395173280 Enrollment ID: I20221229001141 |
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