PATRICK MATHENY (NPI# 1073534814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073534814 |
| Entity Type | Individual |
| Full Name | PATRICK MATHENY |
| Credential | PA-C |
| Practice Address |
3620 Joseph Siewick Dr Ste 100 Fairfax VA 22033-1757 |
| Mailing Address |
Po Box 71230 Philadelphia PA 19176-6230 |
| Practice Telephone | 7038105223 |
| Practice Fax Number | 7038105403 |
| Mailing Telephone | 7033836469 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
110840150 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3620 JOSEPH SIEWICK DR STE 100 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671414 | Adil Zahoor Ghauri | Internal Medicine | 3620 Joseph Siewick Dr, 306, Fairfax, VA 22033-1756 | 2005-07-07 |
| 1144878190 | Nicolas Gay | Physical Therapist | 3620 Joseph Siewick Dr, Suite 201, Fairfax, VA 22033-1758 | 2019-09-03 |
| 1164938247 | Han Thi Ngoc Nguyen | Nurse Practitioner | 3620 Joseph Siewick Dr, Ste 406, Fairfax, VA 22033-1761 | 2017-12-27 |
| 1265885107 | Allison Elizabeth Simons | Physical Therapist | 3620 Joseph Siewick Dr, Suite 106, Fairfax, VA 22033-1756 | 2016-07-15 |
| 1710345525 | Paola Andrea Garcia Veizaga | Physical Therapist | 3620 Joseph Siewick Dr, Fairfax, VA 22033-1756 | 2016-02-08 |
| 1427436062 | Maria Tadic | Dietitian, Registered | 3620 Joseph Siewick Dr, Suite 200, Fairfax, VA 22033-1756 | 2015-05-15 |
| 1780078030 | Gretta Herbert | Specialist | 3620 Joseph Siewick Dr, Suite 307, Fairfax, VA 22033-1756 | 2015-03-25 |
| 1356734412 | Northern Virginia Surgery Center Anesthesia | Anesthesiology | 3620 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033-1756 | 2015-03-13 |
| 1396137956 | Sarah Margerison | Physical Therapist | 3620 Joseph Siewick Dr, Suite 100-a, Fairfax, VA 22033-1756 | 2015-02-19 |
| 1457796641 | Renascance Dermatology PC | Dermatology | 3620 Joseph Siewick Dr, Suite 303, Fairfax, VA 22033-1756 | 2013-05-01 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1114327087 | Bach-duong Dinh | Physician Assistant | 8316 Arlington Blvd Ste 401, Fairfax, VA 22031-5216 | 2014-08-28 |
| 1760633283 | Xyz Clinic | Physician Assistant | 17000 Breeze Lane, Fairfax, VA 22033 | 2008-10-02 |
| 1184810574 | Elizabeth Colella Johnson | Physician Assistant | 3022 Williams Dr #300, Fairfax, VA 22031 | 2007-09-19 |
| 1548322159 | Tsion Tewolde | Physician Assistant | 3600 Joseph Siewick, Drivefair Oaks Hospitalist Group, Fairfax, VA 22033 | 2006-12-14 |
| 1841307956 | Danielle M Landzinski | Physician Assistant | 10615 Judicial Dr Ste 401, Fairfax, VA 22030-7501 | 2006-08-24 |
| 1902873565 | Danielle Ali Layton | Physician Assistant | 3028 Javier Rd, Suite 300, Fairfax, VA 22031-4622 | 2006-03-02 |
| 1215437413 | Caitlin Noelle Fortune | Physician Assistant | 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 | 2018-02-15 |
| 1396270310 | Jessica Nicole Ortega | Physician Assistant | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2017-04-27 |
| 1295116952 | Faith Saunders | Physician Assistant | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2015-06-17 |
| 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.