DR. MARSHALL LEROY UPSHUR (NPI# 1174681092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174681092 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL LEROY UPSHUR |
| Credential | MD |
| Practice Address |
14139 Potomac Mills Road Woodbridge VA 22192-4644 |
| Mailing Address |
Kaiser Permanente Mid Atlantic Permanente Medical Group 2101 E Jefferson St Ppqa Medicare Complaince Unit 6 W Rockville MD 20852-4908 |
| Practice Telephone | 7034908400 |
| Practice Fax Number | 7034907635 |
| Mailing Telephone | 3018166660 |
| Mailing Fax Number | 3018166308 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
0101037842 | VA | Eye and Vision Services Providers |
| Street Address |
14139 POTOMAC MILLS ROAD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447224167 | Bethanne K Miller | Obstetrics & Gynecology | 14139 Potomac Mills Road, Kaiser Permanente Woodbridge Center, Woodbridge, VA 22192-4644 | 2006-02-17 |
| 1235496811 | Ebony Makeda Richards | Pediatrics | 14139 Potomac Mills Road, Pediatrics, Woodbridge, VA 22192 | 2012-04-19 |
| 1265577753 | Deepshikha Goyal | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192 | 2007-02-21 |
| 1013062926 | Lisa A Pauls | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192 | 2007-01-24 |
| 1689724437 | David Alan Dickey | Nurse Practitioner | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2007-01-12 |
| 1033269790 | Herbert Norman Furst | Optometrist | 14139 Potomac Mills Road, Woodbridge, VA 20192-4644 | 2007-01-12 |
| 1962569996 | Stuart Q Hopkins | Internal Medicine | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2007-01-02 |
| 1881759124 | Cynthia L Heins | Internal Medicine | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2006-12-27 |
| 1295895746 | Clementina F Battad | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2006-12-12 |
| 1366503708 | Douglas Kiessling | Optometrist | 14139 Potomac Mills Road, Woodbridge, VA 20192-4644 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114192580 | Aaron Figler, O.d., & Associates, P.C. | Optometrist | 14904 Jefferson Davis Hwy, Ste 308, Woodbridge, VA 22191-3908 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659926715 | Conexus | Optometrist | 11618 Busy St, North Chesterfield, VA 23236-4060 | 2019-08-06 |
| 1164839601 | Ihab Massad | Optometrist | 5597 Seminary Rd Apt 2417s, Falls Church, VA 22041-2923 | 2014-07-16 |
| 1265660575 | Jennifer W Sun | Optometrist | 55 Catoctin Cir Ne Ste A, Leesburg, VA 20176-3106 | 2009-06-25 |
| 1659490142 | Diana J Slavin | Optometrist | 3910 Centreville Rd Ste 100, Chantilly, VA 20151-3280 | 2007-03-28 |
| 1992877450 | Leslie C Ellwood | Optometrist | 12784 Fox Keep Run, Fairfax, VA 22033-2233 | 2006-11-13 |
| 1154980209 | Adrian Kun | Optometrist | 4665 South Blvd, Virginia Beach, VA 23452-1055 | 2019-06-12 |
| 1992188114 | Kelsey Deitz Guth | Optometrist | 5273 John Tyler Hwy, Williamsburg, VA 23185-2553 | 2015-07-07 |
| 1801069810 | Nguyen Vision Inc | Optometrist | 6849 Old Dominion Dr, Suite 300, Mc Lean, VA 22101-3724 | 2008-04-10 |
| 1366510786 | Leticia Khu Oswald | Optometrist | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-12-01 |
| 1457427775 | Gina G Courtney | Optometrist | 6501 Loisdale Court, Springfield, VA 22150-1885 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.