| Privia Care Center Llc | |
|
950 N Glebe Rd Suite 4000 Arlington VA 22203-1824 | |
| (571) 366-8850 | |
| Not Available |
| Full Name | Privia Care Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 950 N Glebe Rd, Arlington, Virginia |
| Authorized Official Name and Position | Courtney Ivess (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 5713668831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Care Center Llc 950 N Glebe Rd Suite 4000 Arlington VA 22203-1824 Ph: (571) 366-8850 | Privia Care Center Llc 950 N Glebe Rd Suite 4000 Arlington VA 22203-1824 Ph: (571) 366-8850 |
| NPI Number | 1164874426 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 11/30/2016 |
| Medicare PECOS PAC ID | 3274801139 |
|---|---|
| Medicare Enrollment ID | O20170616001775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164874426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Lawrence M Stein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043203359 PECOS PAC ID: 3476459231 Enrollment ID: I20031211000429 |
| Provider Name | Mark N Levy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154324010 PECOS PAC ID: 8921991266 Enrollment ID: I20040202001200 |
| Provider Name | Steven P Marshak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730110305 PECOS PAC ID: 6709879703 Enrollment ID: I20040406000586 |
| Provider Name | Monica Bali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811082258 PECOS PAC ID: 1254318652 Enrollment ID: I20040702000880 |
| Provider Name | Shahid Shamim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932208543 PECOS PAC ID: 9537149935 Enrollment ID: I20040727000126 |
| Provider Name | Husna R Baksh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740396092 PECOS PAC ID: 0143293860 Enrollment ID: I20040819000402 |
| Provider Name | Byron Cooper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164484341 PECOS PAC ID: 5193783199 Enrollment ID: I20041222000149 |
| Provider Name | Richard S Squires |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861485047 PECOS PAC ID: 8921056383 Enrollment ID: I20050112000375 |
| Provider Name | Mary Elizabeth Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578554887 PECOS PAC ID: 7416907522 Enrollment ID: I20050126001002 |
| Provider Name | Shishir Kumar Khetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20050131000471 |
| Provider Name | Michael J Grady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659497667 PECOS PAC ID: 3476510314 Enrollment ID: I20050202000479 |
| Provider Name | Douglas Frankel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578676151 PECOS PAC ID: 3274570544 Enrollment ID: I20050408000776 |
| Provider Name | Katherine E David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629084249 PECOS PAC ID: 8224077615 Enrollment ID: I20050426000461 |
| Provider Name | Carlos E Covarrubias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306839469 PECOS PAC ID: 6800836297 Enrollment ID: I20050504001236 |
| Provider Name | Tiffini R Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871509737 PECOS PAC ID: 4789626649 Enrollment ID: I20050601000862 |
| Provider Name | Kelly Joyce Cowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225033731 PECOS PAC ID: 3870525082 Enrollment ID: I20050908000924 |
| Provider Name | Issa Yusuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912934571 PECOS PAC ID: 7214962463 Enrollment ID: I20050927001089 |
| Provider Name | Vijay S Kannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942295621 PECOS PAC ID: 1951336296 Enrollment ID: I20051005000652 |
| Provider Name | Uy Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194831065 PECOS PAC ID: 0345260576 Enrollment ID: I20051201000829 |
| Provider Name | Mary Kilavos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609841188 PECOS PAC ID: 8325069743 Enrollment ID: I20051213000854 |
| Provider Name | Wendy Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184600801 PECOS PAC ID: 3476598087 Enrollment ID: I20060112000658 |
| Provider Name | Karen Shaevel Levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154412559 PECOS PAC ID: 7517981681 Enrollment ID: I20060117000748 |
| Provider Name | Ann Raffo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497752224 PECOS PAC ID: 5193733293 Enrollment ID: I20060412000226 |
| Provider Name | Joshua Felsher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174507297 PECOS PAC ID: 7113956293 Enrollment ID: I20060830000192 |
| Provider Name | Jason Brodsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770582082 PECOS PAC ID: 4688678857 Enrollment ID: I20060830000199 |
| Provider Name | Terri Esterowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093789653 PECOS PAC ID: 3971501479 Enrollment ID: I20070124000148 |
| Provider Name | Vivien N To |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245334408 PECOS PAC ID: 7517969215 Enrollment ID: I20070209000059 |
| Provider Name | Jeffrey D Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326063587 PECOS PAC ID: 3779674403 Enrollment ID: I20070809000130 |
| Provider Name | Carlos Picone |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861475840 PECOS PAC ID: 4183710627 Enrollment ID: I20071015000539 |
| Provider Name | Shobha Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447447974 PECOS PAC ID: 6709966260 Enrollment ID: I20080227000855 |
| Provider Name | Hon Yuen Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295771954 PECOS PAC ID: 6901796622 Enrollment ID: I20080401000188 |
| Provider Name | Susan Thompson Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083799118 PECOS PAC ID: 2466538434 Enrollment ID: I20080403000323 |
| Provider Name | Kathleen Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033328430 PECOS PAC ID: 6406924620 Enrollment ID: I20081001000295 |
| Provider Name | Ira L Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013913284 PECOS PAC ID: 8820159650 Enrollment ID: I20081211000261 |
| Provider Name | Alan R Pollack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790781979 PECOS PAC ID: 4385668441 Enrollment ID: I20081211000640 |
| Provider Name | John N Margolis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346231669 PECOS PAC ID: 1254497647 Enrollment ID: I20090310000594 |
| Provider Name | William H Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144226325 PECOS PAC ID: 7517014731 Enrollment ID: I20090403000590 |
| Provider Name | Haroon Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073578274 PECOS PAC ID: 2062434947 Enrollment ID: I20090409000501 |
| Provider Name | Bertha H Koomson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063445856 PECOS PAC ID: 7113074667 Enrollment ID: I20090420000605 |
| Provider Name | Mayer Green |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922203785 PECOS PAC ID: 4082762125 Enrollment ID: I20090430000033 |
| Provider Name | Girma K Tefera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144429127 PECOS PAC ID: 0749373488 Enrollment ID: I20090610000424 |
| Provider Name | Yamini V Saripalli |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437345709 PECOS PAC ID: 7719039825 Enrollment ID: I20090721000781 |
| Provider Name | Deepa Balasubramaniam |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396928172 PECOS PAC ID: 1658424890 Enrollment ID: I20090805000341 |
| Provider Name | Thomas E Maslen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699742791 PECOS PAC ID: 5294889861 Enrollment ID: I20090817000238 |
| Provider Name | Susan A Leggett Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710037262 PECOS PAC ID: 3870639180 Enrollment ID: I20090930000007 |
| Provider Name | Michael D Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376782201 PECOS PAC ID: 9335293364 Enrollment ID: I20091020000152 |
| Provider Name | Peter G Hamm |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457334401 PECOS PAC ID: 7911045687 Enrollment ID: I20091118000044 |
| Provider Name | Charia L. Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720139587 PECOS PAC ID: 6709927510 Enrollment ID: I20091230000397 |
| Provider Name | Natasha A Lamming-lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750372835 PECOS PAC ID: 9537204367 Enrollment ID: I20100304000795 |
| Provider Name | Paula M Bergamini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225099112 PECOS PAC ID: 0749352102 Enrollment ID: I20100323000557 |
| Provider Name | Bergit Schoellmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881752798 PECOS PAC ID: 2860529542 Enrollment ID: I20100429000153 |
| Provider Name | Jenny Y Moy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093706301 PECOS PAC ID: 3375672769 Enrollment ID: I20100524000232 |
| Provider Name | Rhondee Baldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104936517 PECOS PAC ID: 2163591322 Enrollment ID: I20100604000736 |
| Provider Name | Rahul Y Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083634034 PECOS PAC ID: 1557253424 Enrollment ID: I20100721000329 |
| Provider Name | Carolyn A Hammett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154331908 PECOS PAC ID: 8426947995 Enrollment ID: I20100907000344 |
| Provider Name | Lalitha Tadikonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265423586 PECOS PAC ID: 8022074707 Enrollment ID: I20100914000743 |
| Provider Name | Kelly Tanenholz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780688424 PECOS PAC ID: 7719083419 Enrollment ID: I20101028000200 |
| Provider Name | Kathryn D Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649447228 PECOS PAC ID: 4587858980 Enrollment ID: I20101029000890 |
| Provider Name | Daphna Henkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831160233 PECOS PAC ID: 3375508971 Enrollment ID: I20101111000923 |
| Provider Name | Shashank G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952340648 PECOS PAC ID: 1456546795 Enrollment ID: I20101111000966 |
| Provider Name | Elaine C Reale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548350580 PECOS PAC ID: 6406041664 Enrollment ID: I20101112000928 |
| Provider Name | Marijane Hynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043380850 PECOS PAC ID: 6800082140 Enrollment ID: I20101129000166 |
| Provider Name | Terence James Mccormally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255325890 PECOS PAC ID: 9335048396 Enrollment ID: I20101206000141 |
| Provider Name | Katherine M Kemper Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376863837 PECOS PAC ID: 6002003340 Enrollment ID: I20101213000183 |
| Provider Name | Reshma Kundapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164578563 PECOS PAC ID: 2567555162 Enrollment ID: I20101213001127 |
| Provider Name | Michael Solomon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205819026 PECOS PAC ID: 2860673522 Enrollment ID: I20110301000348 |
| Provider Name | Charles A Umosella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811058951 PECOS PAC ID: 5193865137 Enrollment ID: I20110413000678 |
| Provider Name | Dennis A. Cullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104988054 PECOS PAC ID: 9739229774 Enrollment ID: I20110413000858 |
| Provider Name | Edward T Cullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083775126 PECOS PAC ID: 0840330874 Enrollment ID: I20110415000034 |
| Provider Name | Martine Jasmin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538349527 PECOS PAC ID: 1850576315 Enrollment ID: I20110513000304 |
| Provider Name | Joe Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518187137 PECOS PAC ID: 3577617778 Enrollment ID: I20120228000686 |
| Provider Name | Avni Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982775417 PECOS PAC ID: 1254436157 Enrollment ID: I20120508000054 |
| Provider Name | Rakesh Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013085505 PECOS PAC ID: 2062491699 Enrollment ID: I20120626000323 |
| Provider Name | Sushila Sheoran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144384371 PECOS PAC ID: 4486822186 Enrollment ID: I20120918000132 |
| Provider Name | Allanna D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396009155 PECOS PAC ID: 8628228251 Enrollment ID: I20121017000310 |
| Provider Name | Morayo I Fakiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518194760 PECOS PAC ID: 8820233133 Enrollment ID: I20130314000079 |
| Provider Name | Denise L Colton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427494343 PECOS PAC ID: 7012158207 Enrollment ID: I20130731000611 |
| Provider Name | Rachna Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649594623 PECOS PAC ID: 7810130028 Enrollment ID: I20130906000327 |
| Provider Name | Fernando Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20131030000213 |
| Provider Name | Adebowale Prest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326030438 PECOS PAC ID: 4284669508 Enrollment ID: I20140108000953 |
| Provider Name | Daniel Finkelstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902870926 PECOS PAC ID: 5092948372 Enrollment ID: I20140513000782 |
| Provider Name | Nancy R Kadowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740254770 PECOS PAC ID: 8729201835 Enrollment ID: I20140519000493 |
| Provider Name | Reva E Snow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962476986 PECOS PAC ID: 4486877354 Enrollment ID: I20140521001932 |
| Provider Name | Ana Markovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356322143 PECOS PAC ID: 8325261126 Enrollment ID: I20140523001505 |
| Provider Name | Julie S Berg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548554678 PECOS PAC ID: 3476778804 Enrollment ID: I20140627000487 |
| Provider Name | Marla Roche |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932173952 PECOS PAC ID: 4385860634 Enrollment ID: I20140723001570 |
| Provider Name | Shuchi Vinayak Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174549836 PECOS PAC ID: 4587986237 Enrollment ID: I20141208001043 |
| Provider Name | Victor Abdow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306806872 PECOS PAC ID: 1052365566 Enrollment ID: I20141223001983 |
| Provider Name | Kim Chi Quang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851718837 PECOS PAC ID: 7012231947 Enrollment ID: I20150123000454 |
| Provider Name | Aasha Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548428477 PECOS PAC ID: 5294051843 Enrollment ID: I20150226000948 |
| Provider Name | Richard E Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811970056 PECOS PAC ID: 2567489909 Enrollment ID: I20150309001702 |
| Provider Name | Robert Timothy Pace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326030040 PECOS PAC ID: 2668598095 Enrollment ID: I20150324000396 |
| Provider Name | Laura C. Panto Arling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952627655 PECOS PAC ID: 5799929923 Enrollment ID: I20150706001703 |
| Provider Name | Christina Schrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861891566 PECOS PAC ID: 5092024711 Enrollment ID: I20151021000056 |
| Provider Name | Akukeng W Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043686876 PECOS PAC ID: 6204144413 Enrollment ID: I20160111002012 |
| Provider Name | Kedest Gebreselassie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265897391 PECOS PAC ID: 0941503932 Enrollment ID: I20160127001841 |
| Provider Name | Eleanor Tanno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285048009 PECOS PAC ID: 9335444314 Enrollment ID: I20160301000193 |
| Provider Name | Lea Tesfahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730535634 PECOS PAC ID: 3072803600 Enrollment ID: I20160609001170 |
| Provider Name | Sylvie T Tchuindjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124406749 PECOS PAC ID: 0143510677 Enrollment ID: I20160613000077 |
| Provider Name | Farzana Kousar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386008530 PECOS PAC ID: 3971895392 Enrollment ID: I20160706000196 |
| Provider Name | Susan Kioko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720491293 PECOS PAC ID: 7113249327 Enrollment ID: I20160824000508 |
| Provider Name | Kharia J Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265668347 PECOS PAC ID: 7214176551 Enrollment ID: I20160831000134 |
| Provider Name | Noelia Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983825 PECOS PAC ID: 7214224062 Enrollment ID: I20160922001824 |
| Provider Name | Christina Council |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831539451 PECOS PAC ID: 9234435967 Enrollment ID: I20161101000565 |
| Provider Name | Youngkey Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386027969 PECOS PAC ID: 6103121108 Enrollment ID: I20161117000307 |
| Provider Name | Mikhail Shik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891767000 PECOS PAC ID: 4789677204 Enrollment ID: I20170109002596 |
| Provider Name | Agiua I Heath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174747570 PECOS PAC ID: 5698951044 Enrollment ID: I20170224000147 |
| Provider Name | Elizabeth Ann Nerbun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770759649 PECOS PAC ID: 8921152141 Enrollment ID: I20170303000102 |
| Provider Name | Siobhan L Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104360825 PECOS PAC ID: 7911281225 Enrollment ID: I20170306002106 |
| Provider Name | Keshia Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558806778 PECOS PAC ID: 4486939337 Enrollment ID: I20170407000983 |
| Provider Name | Allison Behette O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904775 PECOS PAC ID: 5698048080 Enrollment ID: I20170906004057 |
| Provider Name | Nandini Thillairajah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093762197 PECOS PAC ID: 5496011819 Enrollment ID: I20171117000362 |
| Provider Name | Raymond Hugh Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669414769 PECOS PAC ID: 3577820448 Enrollment ID: I20171130002602 |
| Provider Name | Timothy A Arling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588930234 PECOS PAC ID: 4789994690 Enrollment ID: I20180201000117 |
| Provider Name | Jude Sudario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023430014 PECOS PAC ID: 3577823772 Enrollment ID: I20180208001028 |
| Provider Name | Kimberly Amanda Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497799365 PECOS PAC ID: 6204842743 Enrollment ID: I20180313000748 |
| Provider Name | Gillian Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912086794 PECOS PAC ID: 4587859129 Enrollment ID: I20180321000587 |
| Provider Name | Myriam Diatta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982121976 PECOS PAC ID: 1456613884 Enrollment ID: I20180326000213 |
| Provider Name | Lauren Collins-chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942719042 PECOS PAC ID: 0042573719 Enrollment ID: I20180410002514 |
| Provider Name | Faith Frankel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013268580 PECOS PAC ID: 2668728197 Enrollment ID: I20180712003567 |
| Provider Name | Rebecca N Levitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770963886 PECOS PAC ID: 9335496850 Enrollment ID: I20180716000688 |
| Provider Name | Elizabeth Chacko Yogiaveetil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629335518 PECOS PAC ID: 9830449131 Enrollment ID: I20180907000572 |
| Provider Name | Deidre Ann Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144703299 PECOS PAC ID: 5597018762 Enrollment ID: I20181106000270 |
| Provider Name | Joseph Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124152574 PECOS PAC ID: 5698809598 Enrollment ID: I20181210000316 |
| Provider Name | You Rim Ahmad Hur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952782880 PECOS PAC ID: 2264770742 Enrollment ID: I20190207001029 |
| Provider Name | Caitlin Elyse Zaner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710276993 PECOS PAC ID: 1456577063 Enrollment ID: I20190227002954 |
| Provider Name | Deirdre F Angelastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710333281 PECOS PAC ID: 8123391562 Enrollment ID: I20190305000159 |
| Provider Name | Ruperto Vallarta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750674412 PECOS PAC ID: 6204005127 Enrollment ID: I20190424001224 |
| Provider Name | Flint Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215356894 PECOS PAC ID: 6204136658 Enrollment ID: I20190703002113 |
| Provider Name | Pasindu Bharatha Samarasinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598127003 PECOS PAC ID: 9234438557 Enrollment ID: I20190715000063 |
| Provider Name | Linda Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407104813 PECOS PAC ID: 0547531170 Enrollment ID: I20190716002010 |
| Provider Name | Cindy F Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720018088 PECOS PAC ID: 5890708028 Enrollment ID: I20190917002581 |
| Provider Name | Althea Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730734146 PECOS PAC ID: 8921338831 Enrollment ID: I20190919001284 |
| Provider Name | Richard Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013106178 PECOS PAC ID: 4082756077 Enrollment ID: I20191125000252 |
| Provider Name | Katherine V Kline |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801449657 PECOS PAC ID: 2163857228 Enrollment ID: I20200117000676 |
| Provider Name | Christine Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891343992 PECOS PAC ID: 8325473275 Enrollment ID: I20200122003123 |
| Provider Name | Abraham Apene Mbangowah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710523022 PECOS PAC ID: 6709212996 Enrollment ID: I20200206002151 |
| Provider Name | Elshaday Teferi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689215527 PECOS PAC ID: 9830525054 Enrollment ID: I20200207000249 |
| Provider Name | Daniel Safo Kantanka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891326450 PECOS PAC ID: 5496186447 Enrollment ID: I20200507002351 |
| Provider Name | Soukeye Niang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881159093 PECOS PAC ID: 6406287358 Enrollment ID: I20200511001063 |
| Provider Name | Teresa Gomez-bramble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306236914 PECOS PAC ID: 0941556690 Enrollment ID: I20200603002810 |
| Provider Name | Dennis Conor Cullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982157764 PECOS PAC ID: 7719273010 Enrollment ID: I20200818002431 |
| Provider Name | Godfried Asare Kenah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205441466 PECOS PAC ID: 9739591280 Enrollment ID: I20201208000233 |
| Provider Name | Angela Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750685426 PECOS PAC ID: 0345426052 Enrollment ID: I20201230000069 |
| Provider Name | Martha Valero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275897852 PECOS PAC ID: 2365856507 Enrollment ID: I20210128002260 |
| Provider Name | Jessica Kandl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669869962 PECOS PAC ID: 3577853134 Enrollment ID: I20210503001235 |
| Provider Name | Desiree Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386144616 PECOS PAC ID: 3779983697 Enrollment ID: I20210615001926 |
| Provider Name | Merlyn Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982282901 PECOS PAC ID: 3971904053 Enrollment ID: I20210628000107 |
| Provider Name | Azra Rayaz Jagani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619921525 PECOS PAC ID: 6002218773 Enrollment ID: I20210719000379 |
| Provider Name | Claudia Patricia Ramirez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508155219 PECOS PAC ID: 2567779572 Enrollment ID: I20210720000511 |
| Provider Name | Bertha Cecilia Velandia Rubiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295945830 PECOS PAC ID: 2163565417 Enrollment ID: I20210720002465 |
| Provider Name | Adrienne Lafleur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184114159 PECOS PAC ID: 7113262171 Enrollment ID: I20210726003649 |
| Provider Name | Allison Hockman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952892127 PECOS PAC ID: 7911242060 Enrollment ID: I20210728002111 |
| Provider Name | Amita De Souza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912296492 PECOS PAC ID: 5395961791 Enrollment ID: I20211014003282 |
| Provider Name | Barbara Ann Kindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831852904 PECOS PAC ID: 2466843529 Enrollment ID: I20211228000093 |
| Provider Name | Alicia B Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376218321 PECOS PAC ID: 0840682993 Enrollment ID: I20220125003182 |
| Provider Name | Hiba Sayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487158663 PECOS PAC ID: 4587919626 Enrollment ID: I20220209000984 |
| Provider Name | Adam Sragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841959764 PECOS PAC ID: 0143617050 Enrollment ID: I20220425000308 |
| Provider Name | Garth Grey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306428792 PECOS PAC ID: 0749677102 Enrollment ID: I20220503002895 |
| Provider Name | Dimitrios Themis Avgeropoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598260168 PECOS PAC ID: 0345649646 Enrollment ID: I20220711003170 |
| Provider Name | Alba Cogliandolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321016 PECOS PAC ID: 5395115562 Enrollment ID: I20230104001345 |
| Provider Name | Ryan Walley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124031067 PECOS PAC ID: 4789055849 Enrollment ID: I20230127001357 |
| Provider Name | Christian Gragasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902438062 PECOS PAC ID: 2567882533 Enrollment ID: I20230227002810 |
| Provider Name | Yun Ji Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700509312 PECOS PAC ID: 2860866779 Enrollment ID: I20230316000266 |
| Provider Name | Catherine O Renken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295432987 PECOS PAC ID: 6204201973 Enrollment ID: I20230411002066 |
| Provider Name | Sa Ra Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174221147 PECOS PAC ID: 5991170615 Enrollment ID: I20230412000731 |
| Provider Name | Morgan Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821797986 PECOS PAC ID: 0345615605 Enrollment ID: I20230419000840 |
| Provider Name | Tyesha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497356307 PECOS PAC ID: 9234543000 Enrollment ID: I20230504003187 |
| Provider Name | Robin Danielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578147575 PECOS PAC ID: 8426451469 Enrollment ID: I20230522000834 |
| Provider Name | Mariama Keita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003515974 PECOS PAC ID: 4789040296 Enrollment ID: I20230525000153 |
| Provider Name | Maria Caccavo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336859974 PECOS PAC ID: 4486027455 Enrollment ID: I20230530000231 |
| Provider Name | Devmith Gajadeera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760832372 PECOS PAC ID: 1557657681 Enrollment ID: I20230612000017 |
| Provider Name | Christina Johannessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932862919 PECOS PAC ID: 6800287558 Enrollment ID: I20230615003808 |
| Provider Name | Marcel Krysanthe Edwards-bayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073217956 PECOS PAC ID: 3274992821 Enrollment ID: I20230629003907 |
| Provider Name | Ava Gay Ledgister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932744984 PECOS PAC ID: 5890120885 Enrollment ID: I20230707003396 |
| Provider Name | Christiana Y Choe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083327183 PECOS PAC ID: 4183083132 Enrollment ID: I20230708000094 |
| Provider Name | Stefanie Holtzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730895046 PECOS PAC ID: 8123488079 Enrollment ID: I20230724003075 |
| Provider Name | Lawanis M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003506262 PECOS PAC ID: 6002278561 Enrollment ID: I20230815002584 |
| Provider Name | Katharina Blunschi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134758493 PECOS PAC ID: 1456714039 Enrollment ID: I20230830000411 |
| Provider Name | Kavya Nallamothu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811526726 PECOS PAC ID: 4486018306 Enrollment ID: I20230912000299 |
| Provider Name | Christine Higgins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700881109 PECOS PAC ID: 2466592423 Enrollment ID: I20231002001173 |
| Provider Name | Anna Tobon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619081361 PECOS PAC ID: 2365585551 Enrollment ID: I20231024000192 |
| Provider Name | William Lins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922791011 PECOS PAC ID: 4880055359 Enrollment ID: I20240109002502 |
| Provider Name | Loida Del Rio Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851928238 PECOS PAC ID: 7618390881 Enrollment ID: I20240131001239 |
| Provider Name | Angela Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568812089 PECOS PAC ID: 0143666834 Enrollment ID: I20240317000061 |
| Provider Name | Marigold Cato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649044678 PECOS PAC ID: 1850732124 Enrollment ID: I20240517000750 |
| Provider Name | Patrick O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033400379 PECOS PAC ID: 5092945626 Enrollment ID: I20240605000132 |
| Provider Name | Robert Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538745021 PECOS PAC ID: 5395148043 Enrollment ID: I20240719000723 |
| Provider Name | Hannah Latta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619554250 PECOS PAC ID: 8527505940 Enrollment ID: I20240802003218 |
| Provider Name | Samantha Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578132262 PECOS PAC ID: 5294196838 Enrollment ID: I20240808004799 |
| Provider Name | Lauren Baron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073197133 PECOS PAC ID: 7719388073 Enrollment ID: I20240829000034 |
| Provider Name | Jon Shirazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982447173 PECOS PAC ID: 5496295479 Enrollment ID: I20240904004818 |
| Provider Name | Eliese Richbourg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770358814 PECOS PAC ID: 3173064243 Enrollment ID: I20240917004097 |
| Provider Name | Stephanie Goggin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275019150 PECOS PAC ID: 4789937525 Enrollment ID: I20241005000087 |
| Provider Name | Emelda Tah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952663692 PECOS PAC ID: 3971036401 Enrollment ID: I20241023000671 |
| Provider Name | Shayon Mottahed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598341414 PECOS PAC ID: 4385178649 Enrollment ID: I20241108000879 |
| Provider Name | Joseph Paul Happel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669732798 PECOS PAC ID: 3476805532 Enrollment ID: I20241108003269 |
| Provider Name | Nora Sullivan Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588854 PECOS PAC ID: 4587036348 Enrollment ID: I20241113004236 |
| Provider Name | Abhimanyu Aggarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447605704 PECOS PAC ID: 7618365511 Enrollment ID: I20241212001345 |
| Provider Name | Jessica Lynne Goggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700691292 PECOS PAC ID: 4688191737 Enrollment ID: I20250612003263 |
Medstar Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 N Glebe Rd Ste A, Arlington, VA 22201 Phone: 855-910-3278 | |
Health Choices Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3500 14th St N, Arlington, VA 22201 Phone: 703-527-5384 Fax: 703-527-5881 | |
Virginia Hospital Center Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1851 N George Mason Dr Ste 3c, Arlington, VA 22207 Phone: 703-717-7780 Fax: 703-717-7781 | |
Florence Provider Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Glebe Rd Ste 500, Arlington, VA 22203 Phone: 703-337-1601 | |
Jay S Rana Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Carlin Springs Rd, Suite 511, Arlington, VA 22204 Phone: 703-671-7000 Fax: 703-379-0449 | |
Kaveh Parvaresh, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Carlin Springs Rd Ste 309, Arlington, VA 22204 Phone: 703-671-8444 Fax: 703-671-2476 | |
Madina Haque, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 N George Mason Dr, Suite 410, Arlington, VA 22205 Phone: 703-525-2898 Fax: 703-525-4361 |