DR. JONATHAN BERNARD MENEZES (NPI# 1023329802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023329802 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BERNARD MENEZES |
| Credential | M.D. |
| Practice Address |
1890 Metro Center Dr Reston VA 20190-5286 |
| Practice Telephone | 7037091500 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2014-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
D0077856 | MD | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
8043674471 | VA | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD041163 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
1890 METRO CENTER DR |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780799643 | Cathy Mclernon | Pediatrics | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2006-08-20 |
| 1417595505 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2019-12-19 |
| 1164998621 | Phung L Ha | Pharmacist | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2018-10-22 |
| 1013453588 | Thien Nguyen | Pharmacist | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2017-01-09 |
| 1871975235 | Christopher John Thomas | Family Medicine | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2015-06-22 |
| 1720416027 | Jamil Manna | Pharmacist | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2013-10-23 |
| 1538401435 | Payal Patel | Pharmacist | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2013-03-19 |
| 1811239825 | Karen S Hilger | Dietitian, Registered | 1890 Metro Center Dr, Kaiser Permanente Reston Medical Center, Reston, VA 20190-5286 | 2013-03-18 |
| 1679814727 | Hyunhee Hahn | Pharmacist | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2013-03-13 |
| 1124369285 | Jeong I Kim | Pharmacist | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2013-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694015 | Gibbs Mobile Med, LLC | Family Medicine | 4115 Annandale Rd Ste 203, Annandale, VA 22003-2500 | 2018-06-29 |
| 1215425384 | Primary Gerontology Center LLC | Family Medicine | 4196 Merchant Plz Ste 348, Lake Ridge, VA 22192-5085 | 2018-04-24 |
| 1760994073 | Mk Cognition, Inc | Family Medicine | 807 Cameron St, Alexandria, VA 22314-2409 | 2017-10-26 |
| 1831639111 | Ad Senior Medical LLC | Family Medicine | 5000 Stoneleigh Rd, Henrico, VA 23228-5927 | 2017-03-06 |
| 1992162267 | Virginia Nursing Homes Specialists Pllc | Family Medicine | 41544 Hoddesdon Ct, Aldie, VA 20105-3097 | 2016-01-18 |
| 1881060028 | Dante Jocson | Family Medicine | 9120 Park Ave, Manassas, VA 20110-4351 | 2015-08-11 |
| 1639563414 | Promedical Services, Inc. | Family Medicine | 30 Monica Blvd, Lynchburg, VA 24502-2269 | 2015-03-19 |
| 1205258829 | Roanoke Adult Medicine LLC | Family Medicine | 1708 Clay St Se, Roanoke, VA 24013-2105 | 2014-01-16 |
| 1336470988 | Ruth Arnetta Jones | Family Medicine | 7515 Chamberlayne Ave., Henrico, VA 23227 | 2010-01-21 |
| 1235313933 | Michael C. Trahos, D.o. | Family Medicine | 6613 Goldsboro Rd, Falls Church, VA 22042-4108 | 2007-12-18 |
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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.