DR. KATHLEEN ELLISON (NPI# 1134516271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134516271 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN ELLISON |
| Credential | M.D. |
| Practice Address |
8316 Arlington Blvd Ste 400 Fairfax VA 22031-5216 |
| Mailing Address |
5310 Harvest Hill Rd Ste 290 Dallas TX 75230-5826 |
| Practice Telephone | 7036410083 |
| Practice Fax Number | 7036410085 |
| Mailing Telephone | 2144200650 |
| Mailing Fax Number | 2147360512 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101267527 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
8316 ARLINGTON BLVD STE 400 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174901953 | Amanda Unalivia | Dermatology | 3700 Joseph Siewick Dr Ste 302, Fairfax, VA 22033-1739 | 2015-05-12 |
| 1508276619 | Charles Martin Aaronson | Dermatology | 3606 Lido Pl., Fairfax, VA 22031 | 2014-04-29 |
| 1740359017 | Moses K Albert | Dermatology | 3025 Hamaker Ct Ste 300, Fairfax, VA 22031-2237 | 2006-11-08 |
| 1205212933 | Dermatology of Virginia | Dermatology | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2015-08-04 |
| 1861890303 | Integrated Dermatology of Fairfax, LLC | Dermatology | 10721 Main St Ste 200, Fairfax, VA 22030-6913 | 2014-12-16 |
| 1497173512 | Michele Zerah Magnino | Dermatology | 3025 Hamaker Ct Ste 300, Fairfax, VA 22031-2237 | 2014-04-05 |
| 1457796641 | Renascance Dermatology PC | Dermatology | 3620 Joseph Siewick Dr, Suite 303, Fairfax, VA 22033-1756 | 2013-05-01 |
| 1093158461 | Monica Nabil Saleh Valentin | Dermatology | 11351 Random Hills Rd, Fairfax, VA 22030 | 2013-04-16 |
| 1245404276 | Carol L Piatt, Md, PC | Dermatology | 8301 Arlington Blvd, Suite 501, Fairfax, VA 22031-2902 | 2008-04-22 |
| 1255501417 | Moses K Albert Md PC | Dermatology | 3020 Hamaker Ct, Fairfax, VA 22031-2238 | 2008-03-04 |
| 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.