DR. JACK C HUANG (NPI# 1003802380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003802380 |
| Entity Type | Individual |
| Full Name | DR. JACK C HUANG |
| Credential | M.D. |
| Practice Address |
14010 Smoketown Rd Suite 117 Woodbridge VA 22192-4704 |
| Mailing Address |
14010 Smoketown Rd Suite 117 Woodbridge VA 22192 |
| Practice Telephone | 7035800181 |
| Practice Fax Number | 7038978763 |
| Mailing Telephone | 7035800181 |
| Mailing Fax Number | 7038978763 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101235911 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010102138 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013263748 | Jack Huang | Acupuncturist | 209 Harvard St, Suite 301, Brookline, MA 02446-5071 | 2012-07-31 |
| 1821018581 | Jack C Huang | Dentist | 102 N Main St, North Wales, PA 19454-3115 | 2006-07-19 |
| Street Address |
14010 SMOKETOWN RD SUITE 117 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094580 | Kenneth Neil Josovitz | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2005-09-20 |
| 1639686009 | Mahnoor Moin | Physician Assistant | 14010 Smoketown Rd, Woodbridge, VA 22192-4722 | 2018-01-05 |
| 1922548130 | Nitiksha Patel | Physician Assistant | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2017-03-07 |
| 1548657117 | Tina Polley | Nurse Practitioner | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2015-04-22 |
| 1629462171 | Advanced Digestive Care, LLC | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192 | 2015-03-23 |
| 1982097770 | Associates In Gastroenterology, PC | Nurse Practitioner | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2015-03-18 |
| 1679881486 | Carlyle Fairfax Hooff Casella | Physician Assistant | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2010-09-15 |
| 1609019520 | Ali Farhad Kazemi | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2009-04-07 |
| 1346403920 | Anisha Thadani | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2008-07-03 |
| 1326205113 | Benjamin Edward Young II | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851741912 | Alkimawi Medical Incorporated | Internal Medicine | 4209 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-06-20 |
| 1689859993 | Kok Seah Lee Md PC | Internal Medicine | 2296 Opitz Blvd Ste 210, Woodbridge, VA 22191-3345 | 2008-01-04 |
| 1922094580 | Kenneth Neil Josovitz | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2005-09-20 |
| 1184624389 | Houshang Makipour | Internal Medicine | 2280 Opitz Blvd., Suite 200, Woodbridge, VA 22191 | 2005-07-28 |
| 1629462171 | Advanced Digestive Care, LLC | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192 | 2015-03-23 |
| 1609019520 | Ali Farhad Kazemi | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2009-04-07 |
| 1346403920 | Anisha Thadani | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2008-07-03 |
| 1457546236 | Arunan Vamadevan | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2007-09-13 |
| 1154499069 | Ghazaleh Aram | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2006-11-30 |
| 1679652820 | Howard M Likier | Internal Medicine | 245 Amity Rd, Suite 206, Woodbridge, CT 06525-2258 | 2006-11-06 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.