DR. PETER L SCUDERA (NPI# 1063488575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063488575 |
| Entity Type | Individual |
| Full Name | DR. PETER L SCUDERA |
| Credential | M.D. |
| Practice Address |
3700 Joseph Siewick Dr Suite 308 Fairfax VA 22033-1744 |
| Practice Telephone | 7036988960 |
| Practice Fax Number | 6476464744 |
| Mailing Telephone | 7036988960 |
| Mailing Fax Number | 7037168703 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101047453 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | 100013570 | 01 |
| ANTHEM BCBS | 178708 | 01 | |
| CAREFIRST BCBS | 79160011 | 01 | |
| ANTHEM BCBS | 334232 | 01 | |
| VA | 6031102 | 05 | |
| ANTHEM BCBS | 452928 | 01 | |
| ANTHEM BCBS | 187600 | 01 | |
| ANTHEM BCBS | 334231 | 01 | |
| ANTHEM BCBS | 341905 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3914 Centreville Rd Ste 350, Chantilly, VA 201513289 | 7037168700 | |
| 3028 Javier Rd Ste 500, Fairfax, VA 220314622 | 7036988960 | 5714945794 |
| Street Address |
3700 JOSEPH SIEWICK DR SUITE 308 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288315 | Marietta F Grundlehner | Specialist | 3700 Joseph Siewick Dr, #305, Fairfax, VA 22033-1744 | 2005-07-08 |
| 1720640790 | Samon Nazemian | Clinic/Center | 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744 | 2019-07-01 |
| 1780112961 | Sylvie C Gatcham Tieuzu'u | Specialist/Technologist, Other | 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744 | 2017-06-01 |
| 1215311592 | Stacey Michelle Akers | Nurse Practitioner | 3700 Joseph Siewick Dr, Suite 300, Fairfax, VA 22033-1744 | 2015-07-16 |
| 1851784714 | Waheedullah Ahmadi | Specialist/Technologist, Other | 3700 Joseph Siewick Dr, 408, Fairfax, VA 22033-1744 | 2015-03-16 |
| 1063816155 | Nova Wound Care, P.C. | Family Medicine | 3700 Joseph Siewick Dr, 303, Fairfax, VA 22033-1744 | 2014-10-17 |
| 1144523218 | Shohreh Sharif | Dentist | 3700 Joseph Siewick Dr, Suite 104, Fairfax, VA 22033-1744 | 2010-12-13 |
| 1003126285 | Kristin Dermody Maggi | Physician Assistant | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2010-10-20 |
| 1821305079 | Morgan Elizabeth Klein | Physician Assistant | 3700 Joseph Siewick Dr, Ste 404, Fairfax, VA 22033-1744 | 2010-09-09 |
| 1568781706 | Ivan Peter Harnden | Internal Medicine | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2010-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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 |
|---|---|---|---|---|
| 1962505818 | Nicholas Szary | Internal Medicine | 3028 Javier Rd Ste 400, Fairfax, VA 22031-4622 | 2006-09-06 |
| 1356337158 | Behzad Kalaghchi | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2005-09-27 |
| 1962407924 | Felice L Banson | Internal Medicine | 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033 | 2005-06-16 |
| 1114220266 | Maurice Atiyeh Md | Internal Medicine | 8501 Arlington Blvd, Ste 500, Fairfax, VA 22031-4617 | 2010-12-13 |
| 1568781706 | Ivan Peter Harnden | Internal Medicine | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2010-05-27 |
| 1881911667 | Iris Lee | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2010-05-03 |
| 1770742595 | Bezawit Tekola | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031 | 2008-06-06 |
| 1770702011 | Asma Khapra | Internal Medicine | 3022 Williams Dr, #301, Fairfax, VA 22031-4600 | 2007-04-25 |
| 1861517963 | Hemorrhoid Relief Center of Virginia, Inc. | Internal Medicine | 3020 Hamaker Ct, Suite B110, Fairfax, VA 22031-2238 | 2007-03-20 |
| 1598800765 | Carol S Schuffler | Internal Medicine | 8301 Arlington Blvd, #308, Fairfax, VA 22031 | 2007-02-21 |
| 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.