ANNE M. NICKODEM, MD PC (NPI# 1205916871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205916871 |
| Entity Type | Organization |
| Organization Name | ANNE M. NICKODEM, MD PC |
| Practice Address |
3299 Woodburn Rd Suite 310 Annandale VA 22003-1275 |
| Practice Telephone | 7035608711 |
| Practice Fax Number | 7035608725 |
| Mailing Telephone | 7035608711 |
| Mailing Fax Number | 7035608725 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-01-25 |
| Authorized Official Name | DR. ANNE M NICKODEM (PRESIDENT) |
| Authorized Official Telephone | 7035608711 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 0101047333 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3299 WOODBURN RD SUITE 310 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519146 | John Douglas Wooddell | Dentist | 3299 Woodburn Rd, Ste 440, Annandale, VA 22003-7329 | 2005-06-23 |
| 1962904987 | Sleepmed, Inc. | Clinic/Center | 3299 Woodburn Rd, Annandale, VA 22003 | 2018-03-06 |
| 1669845715 | Elizabeth Marian Lewis | Nurse Practitioner | 3299 Woodburn Rd, Suite 230, Annandale, VA 22003-1275 | 2015-11-10 |
| 1467838748 | Andrew Mann | Physical Therapist | 3299 Woodburn Rd, Suite 310, Annandale, VA 22003-1275 | 2015-08-10 |
| 1558641050 | Gail J Freeman | Nurse Practitioner | 3299 Woodburn Rd, Suite 480, Annandale, VA 22003-1275 | 2011-08-29 |
| 1487981049 | Meghan Bates | Physical Therapist | 3299 Woodburn Rd, Suite 180, Annandale, VA 22003-1275 | 2009-11-03 |
| 1215173208 | Kathy E. Wolf, M.d., P.C. | Obstetrics & Gynecology | 3299 Woodburn Rd, Suite 350, Annandale, VA 22003-1275 | 2008-12-23 |
| 1528211240 | John D. Doppelheuer M.d. PC | Specialist | 3299 Woodburn Rd, Suite 370, Annandale, VA 22003-1275 | 2008-10-25 |
| 1265607733 | Justine H Kraus | Physical Therapist | 3299 Woodburn Rd, Suite 180, Annandale, VA 22003-1275 | 2008-04-25 |
| 1487826491 | Anne M Nickodem | Plastic Surgery | 3299 Woodburn Rd, Suite 340, Annandale, VA 22003-1275 | 2008-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1720073463 | Khalique S Zahir | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2005-09-19 |
| 1881925311 | Reconstructive Plastic Surgery Consultants, LLC | Plastic Surgery | 3289 Woodburn Rd, Suite 245, Annandale, VA 22003-6800 | 2010-01-22 |
| 1487826491 | Anne M Nickodem | Plastic Surgery | 3299 Woodburn Rd, Suite 340, Annandale, VA 22003-1275 | 2008-03-31 |
| 1083755516 | James H French Jr. | Plastic Surgery | 3299 Woodburn Rd, Suite 490, Annandale, VA 22003-1275 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734595 | Maia Plastic Surgery | Plastic Surgery | 8100 Boone Boulevard, Suite 730, Tysons Corner, VA 22182-2688 | 2020-06-10 |
| 1477026227 | Parva Plastic Reconstructive Surgery LLC | Plastic Surgery | 224d Cornwall St Nw Ste 300, Leesburg, VA 20176-2704 | 2019-01-04 |
| 1669975355 | Sarah Elizabeth Burchett | Plastic Surgery | 8730 Stony Point Pkwy Ste 120, Richmond, VA 23235-1959 | 2018-03-09 |
| 1861900110 | Jules A. Feledy, Jr., Md., Pllc | Plastic Surgery | 2071 Jefferson Davis Hwy, Stafford, VA 22554-7266 | 2018-01-19 |
| 1376068577 | Congressional Plastic Surgery, Inc. | Plastic Surgery | 8501 Arlington Blvd Ste 310, Fairfax, VA 22031-4625 | 2017-08-08 |
| 1710377189 | James Latane Ware | Plastic Surgery | 4103 Summit Ln, Richmond, VA 23221-3710 | 2015-01-23 |
| 1235483348 | Joseph Mitchell Jabbour | Plastic Surgery | 22071 Sam Fred Rd, Middleburg, VA 20117-3201 | 2012-10-29 |
| 1386907400 | Lewis Plastic Surgery, PC | Plastic Surgery | 2331a Robious Station Circle, Midlothian, VA 23113-4730 | 2012-06-22 |
| 1922377696 | Glenn Harvey Shepard | Plastic Surgery | 36 Barclay Rd, Newport News, VA 23606-1465 | 2011-12-23 |
| 1356620967 | Munique Maia | Plastic Surgery | 8100 Boone Blvd Ste 730, Tysons Corner, VA 22182-2688 | 2011-08-12 |
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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.