MR. THOMAS EDWARD DODSWORTH (NPI# 1093027542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093027542 |
| Entity Type | Individual |
| Full Name | MR. THOMAS EDWARD DODSWORTH |
| Credential | RN, ANP |
| Practice Address |
41 Azalea Ave Fairfax CA 94930-1527 |
| Practice Telephone | 5103816346 |
| Mailing Telephone | 5103816346 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
19160 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
41 AZALEA AVE |
| City | FAIRFAX |
| State | CA |
| Zip Code | 94930-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649606187 | Jason Neal Linder | Marriage & Family Therapist | 189 Canyon Road, Fairfax, CA 94930 | 2013-09-16 |
| 1760661920 | Joseph Phillip Smith | Chiropractor | 85 Bolinas Rd Ste 2, Fairfax, CA 94930 | 2007-10-24 |
| 1033735436 | Amie Lois Rudolph | Social Worker | Ucsf Benioff Children's Hospital, 1975 4th Street, San Francisco, CA 94930 | 2020-06-22 |
| 1184172587 | Marian Devereaux | Dietitian, Registered | 251 Oak Manor Dr, Fairfax, CA 94930-1014 | 2016-09-14 |
| 1629312863 | Silke Greiner | Massage Therapist | 73 Gregory Dr, Fairfax, CA 94930-1025 | 2012-11-10 |
| 1659418473 | Caremeridian, LLC | Skilled Nursing Facility | 2390 Sir Francis Drake Blvd, Fairfax, CA 94930-1127 | 2007-01-31 |
| 1861676561 | Paul Alan Steinman | Pediatrics | 169 Willow Ave, Fairfax, CA 94930-1219 | 2007-12-18 |
| 1043549595 | Gail Danchig | Marriage & Family Therapist | 110 Willow Ave, Fairfax, CA 94930-1220 | 2009-12-11 |
| 1598975773 | Anya Maruscha | Social Worker | 53 Taylor Dr, Fairfax, CA 94930-1261 | 2007-05-23 |
| 1053502112 | Gislene Maria Peral | Occupational Therapist | 336 Olema Rd, Fairfax, CA 94930-1318 | 2007-08-05 |
| Find all providers in zip 94930 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487095311 | Injung Kim | Nurse Practitioner | 10801 Main St Ste 700, Fairfax, VA 22030-4745 | 2013-07-08 |
| 1992061642 | Laura Ann Middleton | Nurse Practitioner | 12585 Fair Lakes Cir, Fairfax, VA 22033-3822 | 2012-04-06 |
| 1205152188 | Wendy M Roberts | Nurse Practitioner | 11166 Fairfax Blvd Ste 405, Fairfax, VA 22030-5017 | 2010-04-16 |
| 1073702387 | Irina M Nikitina | Nurse Practitioner | 2826 Old Lee Hwy Ste 330, Fairfax, VA 22031-4347 | 2007-10-23 |
| 1104028158 | Maureen B Lozzi | Nurse Practitioner | 3650 Joseph Siewick Dr Ste 107, Fairfax, VA 22033-1711 | 2007-06-01 |
| 1295896769 | Barbara A Shaver | Nurse Practitioner | 9683-a Main St, Fairfax, VA 22031-3744 | 2006-12-12 |
| 1962519926 | Pamela Williams Parsons | Nurse Practitioner | 8503 Arlington Blvd Ste 140, Fairfax, VA 22031-4629 | 2006-08-24 |
| 1295724276 | Loren Anne Ray Tyson | Nurse Practitioner | 8505 Arlington Blvd, Suite 320, Inova Cardiac Diagnostic Services, Fairfax, VA 22031 | 2005-10-21 |
| 1598313637 | Sandra Wright | Nurse Practitioner | 10701 Main St, Fairfax, VA 22030-6904 | 2019-09-02 |
| 1891207023 | Lindsey A Lee | Nurse Practitioner | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 | 2017-10-27 |
| 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.