VINCENT JAMES MASCATELLO (NPI# 1124006747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124006747 |
| Entity Type | Individual |
| Full Name | VINCENT JAMES MASCATELLO |
| Credential | MD |
| Practice Address |
4001 Fair Ridge Dr #103, Fair Oaks Imaging Center Fairfax VA 22033-2917 |
| Mailing Address |
21785 Filigree Ct #101 Ashburn VA 20147-6214 |
| Practice Telephone | 7033855203 |
| Practice Fax Number | 7033853058 |
| Mailing Telephone | 7037261201 |
| Mailing Fax Number | 7038587150 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
0101027809 | VA | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101027809 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7232381 | 05 |
| Street Address |
4001 FAIR RIDGE DR #103, FAIR OAKS IMAGING CENTER |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040569 | Catherine M Pipan | Family Medicine | 4001 Fair Ridge Dr, Suite 101, Fairfax, VA 22033-2917 | 2005-06-01 |
| 1093260630 | Brooke Leigh Johnson | Physical Therapist | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2016-08-24 |
| 1275985970 | Spine and Pain Clinic of North America, LLC | Pain Medicine | 4001 Fair Ridge Dr, Suite 202, Fairfax, VA 22033-2917 | 2016-07-06 |
| 1538554670 | Caitlin Day | Physical Therapist | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2015-04-06 |
| 1780007450 | Gary D. Cobb, Ph.d., P.C. | Psychologist | 4001 Fair Ridge Dr, Suite 305, Fairfax, VA 22033-2917 | 2014-01-30 |
| 1902229115 | Linda Coffey | Registered Nurse | 4001 Fair Ridge Dr, Fairfax, VA 22033-2917 | 2014-01-23 |
| 1619309390 | Pamela Heise | Physical Therapist | 4001 Fair Ridge Dr, Ste 101, Fairfax, VA 22033-2917 | 2013-08-05 |
| 1245593029 | Kathryn Elizabeth Canyon | Physical Therapy Assistant | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2012-06-18 |
| 1346514007 | Maternal Fetal Medicine Associates of Northern Virginia | Obstetrics & Gynecology | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 | 2012-02-28 |
| 1427339274 | Sally A Mcfarland Md, PC | Internal Medicine | 4001 Fair Ridge Dr, Suite 303, Fairfax, VA 22033-2917 | 2011-09-07 |
| 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 | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720277353 | Margery Manuli | Radiology | 559 S Poes Rd, Amissville, VA 20106-4007 | 2007-10-19 |
| 1952622516 | Nicholas William Digeorge | Radiology | 620 John Paul Jones Circle, Department of Radiology, Portsmouth, VA 23708 | 2010-06-17 |
| 1669796389 | Lydia E Kuo-bonde | Radiology | 1215 Lee St Fl 1, Charlottesville, VA 22908-0816 | 2010-03-24 |
| 1891832184 | Scott B. Rader | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2007-01-30 |
| 1518015296 | Bennett A. Alford | Radiology | Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-01-08 |
| 1427004571 | Gerry L Reece | Radiology | 2602 Buford Rd, Richmond, VA 23235-3422 | 2006-05-26 |
| 1255386462 | David A May | Radiology | 2602 Buford Rd, Richmond, VA 23235-3422 | 2006-05-24 |
| 1346226537 | Ronald L King | Radiology | 5544 Greenwich Rd, Ste.200, Virginia Beach, VA 23462-6563 | 2005-12-20 |
| 1689659237 | Susanne Ng Grasso | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2005-12-07 |
| 1134103229 | David C Kushner | Radiology | 5544 Greenwich Rd Ste 200, Virginia Beach, VA 23462-6563 | 2005-12-01 |
| Find all providers with the same taxonomy | ||||
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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.