DR. ANGELA PENNISI (NPI# 1184945982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184945982 |
| Entity Type | Individual |
| Full Name | DR. ANGELA PENNISI |
| Credential | M.D. |
| Practice Address |
8081 Innovation Park Dr Fl 3 Fairfax VA 22031-4867 |
| Practice Telephone | 5714721660 |
| Practice Fax Number | 5714721661 |
| Mailing Telephone | 5714721660 |
| Mailing Fax Number | 5714721661 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | E-8784 | AR | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E-8784 | AR | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
0101266673 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 W Markham St # 783, Little Rock, AR 722057101 | (501) 686-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881673671 | Angela Wilson Pennisi | Physical Therapist | 2929 N Southport Ave, Chicago, IL 60657-6945 | 2006-01-11 |
| Street Address |
8081 INNOVATION PARK DR FL 3 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831504653 | Tammy Smith | Nurse Practitioner | 8081 Innovation Park Dr Fl 3, Fairfax, VA 22031-4867 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942628458 | Joshua Allen | Internal Medicine | 3580 Joseph Siewick Dr Ste 403, Fairfax, VA 22033-1764 | 2014-04-01 |
| 1538140306 | Donald Trump | Internal Medicine | 3225 Gallows Rd, Fairfax, VA 22031-4872 | 2005-11-09 |
| 1275097123 | Inova Health Care Services | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2019-01-24 |
| 1033438270 | Kathleen Kiernan Harnden | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2010-05-27 |
| 1528281375 | Adam Louis Cohen | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2007-04-10 |
| 1912058736 | Bassema A Antabli | Internal Medicine | 12255 Fair Lakes Parkway, Fairfax, VA 22033 | 2007-01-16 |
| 1003851460 | Michael Maitland | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2006-06-19 |
| 1346280708 | Nova Oncology Associates, PC | Internal Medicine | 3020 Hamaker Ct, Suite 101, Fairfax, VA 22031-2238 | 2006-06-07 |
| 1205803202 | Anne M Favret | Internal Medicine | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4629 | 2006-03-08 |
| 1528035532 | Roy A Beveridge | Internal Medicine | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2006-03-08 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on DR. ANGELA PENNISI.
| 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.