MINUTECLINIC DIAGNOSTIC OF VIRGINIA,LLC (NPI# 1154817393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154817393 |
| Entity Type | Organization |
| Organization Name | MINUTECLINIC DIAGNOSTIC OF VIRGINIA,LLC |
| Practice Address |
5652 Pickwick Rd Centreville VA 20120 |
| Mailing Address |
5652 Pickwick Rd Centreville VA 20120-2057 |
| Practice Telephone | 7036319440 |
| Mailing Telephone | 7036319440 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | KIM KUSEK (CREDENTIALING OFFICER) |
| Authorized Official Telephone | 4017702476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1487176053 | 05 |
| Street Address |
5652 PICKWICK RD |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437253192 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5652 Pickwick Rd, Centreville, VA 20120-2057 | 2006-09-12 |
| 1659898617 | Kathleen M Mckeever | Nurse Practitioner | 5652 Pickwick Rd, Centreville, VA 20120-2057 | 2017-08-29 |
| 1336695592 | Kristina Jung | Nurse Practitioner | 5652 Pickwick Rd, Centreville, VA 20120-2057 | 2016-08-28 |
| 1467811646 | Rezvan Heidari | Nurse Practitioner | 5652 Pickwick Rd, Centreville, VA 20120-2057 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1033122981 | Charles & Katherine Fischer Dds PC | Dentist | 5895 Trinity Parkway, Suite 200, Centreville, VA 20120 | 2006-08-14 |
| Find all providers in zip 20120 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437167 | Asoufy Therapy Services, Pllc | Clinic/Center | 916 Saint Andrews Reach Apt A, Chesapeake, VA 23320-8587 | 2020-11-05 |
| 1710594932 | Healthy Advocate | Clinic/Center | 5904 Carrington Green Ct, Glen Allen, VA 23060-3439 | 2020-09-30 |
| 1518573864 | Yi's Acupuncture Clinic,inc. | Clinic/Center | 4216 Evergreen Ln Ste 112, Annandale, VA 22003-3253 | 2020-09-22 |
| 1770191660 | Treasure Health Inc | Clinic/Center | 6000 Stevenson Ave Ste F, Alexandria, VA 22304-3563 | 2020-07-17 |
| 1003443359 | Henry A Mccleary Dc LLC | Clinic/Center | 2239c Tacketts Mill Dr, Woodbridge, VA 22192-3026 | 2020-03-26 |
| 1962044420 | Alice Tseng Od Optometrist Pllc | Clinic/Center | 6211 Leesburg Pike, Falls Church, VA 22044-2107 | 2019-10-16 |
| 1164080057 | Hao Health and Healing LLC | Clinic/Center | 12011 Lee Jackson Memorial Hwy Ste 320, Fairfax, VA 22033-3310 | 2019-06-05 |
| 1245897941 | Metropolitan Medical | Clinic/Center | 3046 Valley Ave Ste 100, Winchester, VA 22601-2679 | 2019-05-29 |
| 1942768692 | Medsquare LLC | Clinic/Center | 8575a Sudley Rd, Manassas, VA 20110-3811 | 2019-03-12 |
| 1770055410 | Caring Hearts Free Clinic of Patrick County | Clinic/Center | 835 Woodland Dr Ste 101, Stuart, VA 24171-1586 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20120 |
Please comment or provide details below to improve the information on MINUTECLINIC DIAGNOSTIC OF VIRGINIA,LLC.
| 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.