DR. PAUL STEVEN MODLINGER (NPI# 1053405688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053405688 |
| Entity Type | Individual |
| Full Name | DR. PAUL STEVEN MODLINGER |
| Credential | M.D. |
| Practice Address |
3930 Walnut Street Suite 101 Fairfax VA 22030-4738 |
| Practice Telephone | 7032469246 |
| Practice Fax Number | 7032469257 |
| Mailing Telephone | 7032469246 |
| Mailing Fax Number | 7032469257 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101236049 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010085918 | 05 | |
| VA | 010085811 | 05 | |
| VA | 010085845 | 05 | |
| VA | 010083770 | 05 | |
| VA | 010085683 | 05 | |
| VA | 010085721 | 05 | |
| VA | 010085934 | 05 | |
| MAMSI | 2128905 | 01 | |
| CIGNA | 9202002 | 01 | |
| VA | 010083753 | 05 | |
| VA | 010085691 | 05 | |
| VA | 010085837 | 05 | |
| VA | 010085829 | 05 | |
| VA | 010184983 | 05 | |
| CAREFIRST | 47430007 | 01 | |
| VA | 010124743 | 05 | |
| VA | 010085870 | 05 |
| Street Address |
3930 WALNUT STREET SUITE 101 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295820827 | Kinjal Ramesh Patel | Internal Medicine | 3930 Walnut Street, Suite 101, Fairfax, VA 22030-4738 | 2006-10-03 |
| 1225124779 | Renuka Sothinathan | Internal Medicine | 3930 Walnut Street, Suite 101, Fairfax, VA 22030-4738 | 2006-10-04 |
| 1851487383 | Ranjit K Cheriyan | Internal Medicine | 3930 Walnut Street, Suite 101, Fairfax, VA 22030-4738 | 2006-10-04 |
| 1497849129 | Victor Emmanuel G Lorica | Internal Medicine | 3930 Walnut Street, Suite 101, Fairfax, VA 22030-4738 | 2006-10-03 |
| 1013001601 | Virginia Nephrology Group, LLP | Internal Medicine | 3930 Walnut Street, Suite 101, Fairfax, VA 22030-4738 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1598080186 | Vineet Kumaar Jassal | Internal Medicine | 3930 Walnut St Ste 101, Fairfax, VA 22030-4750 | 2010-04-07 |
| 1770632630 | Northern Virginia Nephrology Associates PC | Internal Medicine | 8505 Arlington Blvd Ste 340, Fairfax, VA 22031 | 2007-01-09 |
| 1295820827 | Kinjal Ramesh Patel | Internal Medicine | 3930 Walnut Street, Suite 101, Fairfax, VA 22030-4738 | 2006-10-03 |
| 1811995467 | Robert E Greenspan | Internal Medicine | 13135 Lee Jackson Memorial Hwy, 135, Fairfax, VA 22033-1907 | 2005-07-08 |
| 1639432198 | Nowal Al Baqui | Internal Medicine | 13135 Lee Jackson Memorial Hwy, #135, Fairfax, VA 22033-1907 | 2012-06-20 |
| 1285912857 | Caroline Kwon | Internal Medicine | 3930 Walnut St, Suite 101, Fairfax, VA 22030-4738 | 2011-07-29 |
| 1942450267 | Misbah Zaheer | Internal Medicine | 13135 Lee Jackson Memorial Hwy, Ste 135, Fairfax, VA 22033-1907 | 2008-09-23 |
| 1871778068 | Gregory Wang | Internal Medicine | 13135 Lee Jackson Memorial Hwy, #135, Fairfax, VA 22033-1907 | 2008-01-07 |
| 1487716593 | Kourosh Dibadj | Internal Medicine | 13135 Lee Jackson Memorial Hwy, 135, Fairfax, VA 22033-1907 | 2006-12-14 |
| 1700954252 | Anup Manoharan | Internal Medicine | 8316 Arlington Blvd, Suite 104, Fairfax, VA 22031-5207 | 2006-12-01 |
| Find all providers in FAIRFAX | ||||
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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.