DR. SCOTT MICHAEL SIRLIN (NPI# 1174517478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174517478 |
| Entity Type | Individual |
| Full Name | DR. SCOTT MICHAEL SIRLIN |
| Credential | MD |
| Practice Address |
19455 Deerfield Ave Suite 205 Lansdowne VA 20176-8100 |
| Practice Telephone | 7037269930 |
| Practice Fax Number | 7037238278 |
| Mailing Telephone | 7037269930 |
| Mailing Fax Number | 7037238278 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2009-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
0101225789 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 06734626 | 05 |
| Street Address |
19455 DEERFIELD AVE SUITE 205 |
| City | LANSDOWNE |
| State | VA |
| Zip Code | 20176-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774601 | Jeylani Gregory Dublin | Physical Medicine & Rehabilitation | 19455 Deerfield Ave, Lansdowne, VA 20176-8100 | 2018-09-18 |
| 1730627860 | Northern Virginia Imaging, LLC | Specialist | 19455 Deerfield Ave, Sutie 102, Lansdowne, VA 20176-8100 | 2017-02-09 |
| 1255886289 | Brittany Starr | Specialist/Technologist | 19455 Deerfield Ave, 312, Lansdowne, VA 20176-8100 | 2016-08-19 |
| 1902281082 | Jeffrey Chase Farnsworth | Physical Therapist | 19455 Deerfield Ave, Suite 309, Lansdowne, VA 20176-8100 | 2015-07-30 |
| 1073994620 | Megan Bureau | Physical Therapist | 19455 Deerfield Ave, Ste 309, Lansdowne, VA 20176-8100 | 2015-06-09 |
| 1447645551 | National Sports Medicine Institute | Clinic/Center | 19455 Deerfield Ave, Suite 309, Lansdowne, VA 20176-8100 | 2015-04-06 |
| 1083008338 | Doctors Choice Home Care Inc | Home Health | 19455 Deerfield Ave, Suite 208, Lansdowne, VA 20176-8100 | 2015-03-25 |
| 1891116059 | Allergy Asthma & Immunology Institute | Allergy & Immunology | 19455 Deerfield Ave, Suite 205, Lansdowne, VA 20176-8100 | 2013-12-13 |
| 1972844918 | Zahra C Ismaeli | Specialist/Technologist | 19455 Deerfield Ave, Suite 312, Lansdowne, VA 20176-8100 | 2013-03-14 |
| 1780942755 | Sofia Nabizadeh | Physician Assistant | 19455 Deerfield Ave, Suite 311, Lansdowne, VA 20176-8100 | 2012-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
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| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548529126 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2012-05-16 |
| 1083885214 | Benjamin Isaac Enav | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2008-03-15 |
| 1407908445 | Mahendra D.shah,m.d.& Associates,p.c. | Pediatrics | 4207 Whitford Ct, # 1703, Glen Allen, VA 23060-4138 | 2007-01-18 |
| 1154430916 | Juan C Olazagasti | Pediatrics | 102 Highland Ave Se Ste 305, Roanoke, VA 24013-2253 | 2006-08-29 |
| 1881625408 | Juan F Villalona | Pediatrics | 7229 Forest Ave Ste 106, The Highland II Medical Office Building, Richmond, VA 23226-3765 | 2006-07-05 |
| 1205884368 | Gastroenterology Associates of Northern Virginia, LLC | Pediatrics | 3700 Joseph Siewick Dr., Suite 308, Fairfax, VA 22033-1739 | 2006-05-04 |
| 1740253020 | Peter Lee Jr. | Pediatrics | 3022 Williams Dr, Suite 301, Fairfax, VA 22031-4600 | 2006-02-08 |
| 1730516675 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1013259688 | Gayathri Krishnaveni Naraparaju | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2013-03-21 |
| 1164779682 | Benjamin I. Enav, Md, LLC | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2012-08-14 |
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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.