ADVANCE URGENT CARE WALKIN CLINIC (NPI# 1144474669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144474669 |
| Entity Type | Organization |
| Organization Name | ADVANCE URGENT CARE WALKIN CLINIC |
| Practice Address |
10535 Crestwood Dr Suite101 Manassas VA 20109-4416 |
| Mailing Address |
10535 Crestwood Dr Suite 101 Manassas VA 20109-4416 |
| Practice Telephone | 7032572070 |
| Practice Fax Number | 7032572072 |
| Mailing Telephone | 7032572070 |
| Mailing Fax Number | 7032572072 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | DR. KAVOOS N MESBAHI (PRESIDENT) |
| Authorized Official Telephone | 7032574741 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
10535 CRESTWOOD DR SUITE101 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154424232 | Kavoos Noori Mesbahi | Pediatrics | 10535 Crestwood Dr, 101, Manassas, VA 20109-4416 | 2006-09-06 |
| 1104369008 | Jennifer Rose Ferrer | Behavioral Analyst | 10535 Crestwood Dr, Manassas, VA 20109-4416 | 2016-11-23 |
| 1437609609 | Therapeutic Alliance LLC | Community/Behavioral Health | 10535 Crestwood Dr, Manassas, VA 20109-4416 | 2016-10-11 |
| 1043606312 | Kelly Terry | Social Worker | 10535 Crestwood Dr, Suite 201, Manassas, VA 20109-4416 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1619521051 | Pierre Mawesa Diomi Jr. | General Practice | 9003 Church St, Manassas, VA 20110-5410 | 2019-07-24 |
| 1356671457 | Mosaic Medical Group, LLC | General Practice | 8525 Rolling Rd, Suite 222, Manassas, VA 20110-3647 | 2010-01-12 |
| 1184809030 | Jerry K Lee | General Practice | 7524 Diplomat Dr, Manassas, VA 20109-2685 | 2008-01-09 |
| 1962448308 | Safe Haven Adult Day and Medical Services, LLC | General Practice | 12307 Charles Lacey Dr, Manassas, VA 20112-8837 | 2006-06-22 |
| 1063470813 | Michael L Dougan | General Practice | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2006-05-02 |
| 1114915592 | James R Eskew | General Practice | 8700 Sudley Rd, Prince William Hospital, Manassas, VA 20110-4418 | 2005-10-11 |
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| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
| 1720617525 | Squadron Health Enterprises, LLC | General Practice | 10602 Allenwood Ln, Great Falls, VA 22066-3229 | 2020-04-03 |
| 1851929558 | Medical Care for Family LLC | General Practice | 6408k Seven Corners Pl Ste G, Falls Church, VA 22044-2007 | 2020-03-29 |
| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| 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.