NINO GELENIDZE (NPI# 1164862868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164862868 |
| Entity Type | Individual |
| Full Name | NINO GELENIDZE |
| Credential | MD |
| Practice Address |
10100 Fairfax Blvd Fairfax VA 22030-2000 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7036791876 |
| Practice Fax Number | 7036791877 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101260116 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
10100 FAIRFAX BLVD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316981103 | Abdulwahab Hashem Heggi | Internal Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2006-06-15 |
| 1275084568 | Mariam Ali | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-10-20 |
| 1588018881 | Patient First Richmond Medical Group Pllc | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-04-22 |
| 1134583008 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-04-07 |
| 1134527211 | Bridget A Baidoo | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2014-12-05 |
| 1144669540 | Brandon Edward Polasko | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2013-06-19 |
| 1487900056 | Sheeba Mahnaz | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2012-07-31 |
| 1073822482 | Nicol Lynn Schwandt | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030 | 2010-10-03 |
| 1073845806 | Minh Khai Tran | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2010-02-04 |
| 1760621205 | Paul Gardner Scanlan | Internal Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2009-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561943 | Tammy Jones Md Pllc | Family Medicine | 9683 Main St Ste A, Fairfax, VA 22031-3755 | 2019-04-08 |
| 1194209544 | Aramcare, LLC | Family Medicine | 11230 Waples Mill Rd Ste 125, Fairfax, VA 22030-6002 | 2018-09-21 |
| 1881112902 | Cheryl Anne Arenella | Family Medicine | 11150 Fairfax Blvd Ste 200, Fairfax, VA 22030-5066 | 2017-09-08 |
| 1720448442 | Integrated Wellness Md, LLC | Family Medicine | 8316 Arlington Blvd Ste 206, Fairfax, VA 22031-5216 | 2016-02-24 |
| 1255710554 | Kristin Adelle Harrington | Family Medicine | 10530 Rosehaven St Ste 100, Fairfax, VA 22030-2888 | 2015-05-20 |
| 1194111641 | Stephanie Singh | Family Medicine | 3998 Fair Ridge Dr Ste 125, Fairfax, VA 22033-2908 | 2015-04-11 |
| 1811208028 | Hanna Yoon | Family Medicine | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2010-06-23 |
| 1285879981 | Sabeen Pervaiz | Family Medicine | 4041 University Dr Ste 405, Fairfax, VA 22030-3410 | 2008-12-09 |
| 1164685103 | Carolyn E. Snarskis | Family Medicine | 3650 Joseph Siewick Dr., Suite 400, Fairfax, VA 22033 | 2008-07-09 |
| 1952583650 | Phyllis Jean Drew | Family Medicine | 9683-a Main Street, Fairfax, VA 22031-3755 | 2007-12-04 |
| 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.