DR. SHAFIK MUSTAFA SIDANI (NPI# 1134303316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134303316 |
| Entity Type | Individual |
| Full Name | DR. SHAFIK MUSTAFA SIDANI |
| Credential | M.D. |
| Practice Address |
1625 N George Mason Dr Suite 454 Arlington VA 22205-3683 |
| Practice Telephone | 7037174180 |
| Practice Fax Number | 7037174181 |
| Mailing Telephone | 7037174180 |
| Mailing Fax Number | 7037174181 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2014-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101253957 | VA | Other Service Providers |
| N | 208600000X | Surgery | 55164 | MN | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 0101253957 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1625 N GEORGE MASON DR SUITE 454 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713422 | James Alan Ramenofsky | Internal Medicine | 1625 N George Mason Dr, Suite 425, Arlington, VA 22205-3683 | 2005-07-11 |
| 1548734593 | Sabena K Passarello | Nurse Practitioner | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2019-01-13 |
| 1205384534 | Virginia Hospital Center Physician Group LLC | Hospitalist | 1625 N George Mason Dr, Suite 425, Arlington, VA 22205-3683 | 2016-09-15 |
| 1750733572 | Cristine Chin | Physician Assistant | 1625 N George Mason Dr, Suite 354, Arlington, VA 22205-3683 | 2016-07-05 |
| 1184097560 | Chao-hui Sung | Social Worker | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2015-11-05 |
| 1265803910 | Daniel Haldeman | Nurse Practitioner | 1625 N George Mason Dr, Suite 288, Arlington, VA 22205-3683 | 2015-10-07 |
| 1396123147 | Aida Girma | Family Medicine | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2015-05-13 |
| 1043617889 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr, Suite 354, Arlington, VA 22205-3683 | 2014-11-21 |
| 1306240833 | Lauren Abate | Nurse Practitioner | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2014-10-13 |
| 1407258163 | Rachel Wilson | Nurse Practitioner | 1625 N George Mason Dr, Suite 288, Arlington, VA 22205-3683 | 2014-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538456561 | Christopher Ryan Dwyer | Colon & Rectal Surgery | 515 W Mayfield Rd Ste 250, Arlington, TX 76014-2084 | 2011-06-28 |
| 1083627020 | Todd O Moore | Colon & Rectal Surgery | 711 E Lamar Blvd Ste 200, Arlington, TX 76011-3800 | 2006-08-14 |
| 1598107674 | Virginia Hospital Center Physician Group, LLC | Colon & Rectal Surgery | 1625 N George Mason Dr, Suite 454, Arlington, VA 22205-3683 | 2013-07-18 |
| 1548353501 | Virginia Physician Associates, LLC | Colon & Rectal Surgery | 1625 N George Mason Dr, Suite 415, Arlington, VA 22205-3683 | 2006-10-02 |
| 1184612905 | Ronald S Kline | Colon & Rectal Surgery | 515 W Mayfield Rd, Suite 416, Arlington, TX 76014-2083 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073809281 | Mercy Danielle Wagner | Colon & Rectal Surgery | 260 John Paul Jones Cir, Portsmouth, VA 23708 | 2011-06-26 |
| 1497818025 | Chong S. Lee | Colon & Rectal Surgery | 155 Kinglsey Lane Suite 405, Bon Secours Surgical Specialists, Norfolk, VA 23505 | 2006-12-18 |
| 1427169507 | Fairfax Colon & Rectal Surgery, PC | Colon & Rectal Surgery | 2710 Propersity Ave, Ste 200, Fairfax, VA 22031 | 2006-08-31 |
| 1710918438 | Northern Virginia Surgical Group, PC | Colon & Rectal Surgery | 8316 Arlington Blvd., Suite 630, Fairfax, VA 22031-5216 | 2006-07-05 |
| 1720052285 | Gregory P Fitzharris | Colon & Rectal Surgery | 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 | 2006-02-13 |
| 1356311286 | Paul Jerome Kovalcik | Colon & Rectal Surgery | 3105 American Legion Road, Suite A, Chesapeake, VA 23321-5653 | 2006-01-24 |
| 1396725636 | Beth Rachelle Jaklic | Colon & Rectal Surgery | 1301 First Colonial Rd Ste 201, Virginia Beach, VA 23454-2263 | 2006-01-20 |
| 1174525869 | Othon Wiltz | Colon & Rectal Surgery | 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033-1761 | 2005-08-11 |
| 1497092944 | Christina Cheng | Colon & Rectal Surgery | 2710 Prosperity Ave Ste 200, Fairfax, VA 22031-4358 | 2013-01-03 |
| 1063733350 | Terry Paul Nickerson | Colon & Rectal Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2010-06-21 |
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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.