PROF. LARRY HOWARD PASTOR (NPI# 1114095981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114095981 |
| Entity Type | Individual |
| Full Name | PROF. LARRY HOWARD PASTOR |
| Credential | MD |
| Practice Address |
3340 Woodburn Rd Annandale VA 22003-1202 |
| Mailing Address |
3340 Woodburn Road Annandale VA 22203 |
| Practice Telephone | 7035735679 |
| Practice Fax Number | 7038761640 |
| Mailing Telephone | 7035735679 |
| Mailing Fax Number | 7038761640 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
0101043183 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3340 WOODBURN RD |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558389429 | Kimberly Sue Close-jensen | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2006-07-18 |
| 1366844383 | Joanna Turner | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2014-09-22 |
| 1437578325 | Kimberly Berlin | Registered Nurse | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2014-04-08 |
| 1104169192 | Megghan K Thompson | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2013-03-28 |
| 1306197249 | Lisa D'alessio | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2012-10-01 |
| 1164795571 | Fatma Mohammad Mekki | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2012-02-15 |
| 1639469166 | Corey Thornton | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2011-04-18 |
| 1073841888 | Neva S. Ortuno | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2009-12-07 |
| 1538391701 | Eleanor H Barber | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2009-08-20 |
| 1245461102 | Jacqueline Carroll Armstrong | Counselor | 3340 Woodburn Rd, Woodburn Center, Annandale, VA 22003 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851870315 | Pace Mental Heatlh | Psychiatry & Neurology | 8348 Traford Ln Ste 301, Springfield, VA 22152-1650 | 2018-08-07 |
| 1356743280 | The Maia Institute | Psychiatry & Neurology | 2050 Ballenger Ave Ste 200, Alexandria, VA 22314-6847 | 2014-09-23 |
| 1619211836 | Gabriel Koz | Psychiatry & Neurology | 306 Indian Springs Road, Williamsburg, VA 23185 | 2012-11-15 |
| 1740534130 | Ryan S Shugarman Md Pllc | Psychiatry & Neurology | 901 N. Washington St., Suite 601, Alexandria, VA 22314-1535 | 2012-11-06 |
| 1902922503 | Sridhar Yaratha | Psychiatry & Neurology | 5700 W Grace St Ste 100, Richmond, VA 23226-1832 | 2007-03-22 |
| 1134210784 | Avtar S Dhillon | Psychiatry & Neurology | 5483 Mooretown Road, Williamsburg, VA 23188 | 2006-09-27 |
| 1841211745 | Lorraine Sharon Roth | Psychiatry & Neurology | 6178 Edsall Rd, Apt. #96, Alexandria, VA 22304-5881 | 2006-07-23 |
| 1902874605 | Dean Akira Inouye | Psychiatry & Neurology | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2006-03-09 |
| 1851368401 | Dimitrios Theodoridis | Psychiatry & Neurology | 26317 W. Washington Street, Petersburg, VA 23803-0030 | 2006-03-02 |
| 1295714095 | Daniel Paul Sheneman | Psychiatry & Neurology | 26317 W. Washington St., Petersburg, VA 23803 | 2006-01-11 |
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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.