METROHEALTH INTERNAL MEDICINE, PC (NPI# 1104097542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104097542 |
| Entity Type | Organization |
| Organization Name | METROHEALTH INTERNAL MEDICINE, PC |
| Practice Address |
2765 Jefferson Davis Hwy Unit 101 Stafford VA 22554-8331 |
| Practice Telephone | 5403714488 |
| Practice Fax Number | 5403713748 |
| Mailing Telephone | 5403714488 |
| Mailing Fax Number | 5403713748 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | CAROLINA M HERNANDEZ (PHYSICIAN OWNER) |
| Authorized Official Telephone | 5403714488 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2765 JEFFERSON DAVIS HWY UNIT 101 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-8331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124149810 | Amy L O'brien | Speech-Language Pathologist | 2765 Jefferson Davis Hwy, # 209, Stafford, VA 22554-8331 | 2007-04-02 |
| 1467090993 | Dana Ware | Occupational Therapist | 2765 Jefferson Davis Hwy, Stafford, VA 22554-8331 | 2019-12-16 |
| 1043764723 | Alissa Joy Agnew | Physical Therapist | 2765 Jefferson Davis Hwy, Suite 203, Stafford, VA 22554-8331 | 2016-08-10 |
| 1447704374 | Paola Perez | Speech-Language Pathologist | 2765 Jefferson Davis Hwy, #203, Stafford, VA 22554-8331 | 2016-08-09 |
| 1184178303 | Harriette Juanice Girven | Speech-Language Pathologist | 2765 Jefferson Davis Hwy, Suite 203, Stafford, VA 22554-8331 | 2016-08-04 |
| 1639549207 | Nicole Carbone | Speech-Language Pathologist | 2765 Jefferson Davis Hwy, Ste. 203, Stafford, VA 22554-8331 | 2015-09-25 |
| 1457734972 | Laura Beth Schueler | Speech-Language Pathologist | 2765 Jefferson Davis Hwy, Suite 203, Stafford, VA 22554-8331 | 2015-07-01 |
| 1750763918 | Lisa Alden | Speech-Language Pathologist | 2765 Jefferson Davis Hwy, Ste. 203, Stafford, VA 22554-8331 | 2015-06-24 |
| 1992183404 | Anju Sharma | Physical Therapist | 2765 Jefferson Davis Hwy, Suite 203, Stafford, VA 22554-8331 | 2015-05-15 |
| 1962890996 | Jill Cummings | Occupational Therapist | 2765 Jefferson Davis Hwy, Suite 203, Stafford, VA 22554-8331 | 2014-12-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1356579734 | Associates In Internal Medicine Inc | Internal Medicine | 243 Garrisonville Rd, Bldg 4, North Stafford Plaza, Stafford, VA 22554-8908 | 2009-06-24 |
| 1154569812 | Daryl K. Daniel, M.d., P.a. | Internal Medicine | 4915 South Main, Suite 102, Stafford, TX 77477-4601 | 2009-02-03 |
| 1720238868 | Petros Assefa Ayele | Internal Medicine | 2712 Jefferson Davis Highway, Suite 101, Stafford, VA 22554 | 2008-09-25 |
| 1265551071 | Rashid Khan | Internal Medicine | 111 Brand Ln # 901, Stafford, TX 77477-4801 | 2007-03-29 |
| 1861555146 | Ns Family Medical Center Inc. | Internal Medicine | 237 Garrisonville Rd, #101, Stafford, VA 22554-1553 | 2006-12-18 |
| 1669451084 | Thomas Anderson Bauer | Internal Medicine | 602 South Buckeye Avenue, Stafford, KS 67578 | 2006-01-13 |
| 1073504940 | Getachew Woldeher | Internal Medicine | 2712 Jefferson Davis Hwy, Stafford, VA 22554-1733 | 2005-10-31 |
| 1366432692 | Yared A. Gebreyesus | Internal Medicine | 2146 Jefferson Davis Hwy, Suite101, Stafford, VA 22554-7223 | 2005-10-27 |
| 1689663320 | Nather B. Ansari | Internal Medicine | 1075 Garrisonville Rd, Suite 115, Stafford, VA 22556-8600 | 2005-10-15 |
| 1295357549 | Rashid Khan, Md, Pllc | Internal Medicine | 111 Brand Ln # 901, Stafford, TX 77477-4801 | 2020-05-09 |
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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.