DR. CLAUDINE H DESAMOURS (NPI# 1205920246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205920246 |
Entity Type | Individual |
Full Name | DR. CLAUDINE H DESAMOURS |
Other Name | CLAUDINE H GBAGUIDI |
Credential | M.D. |
Practice Address |
10302 Bristow Center Dr St 173 Bristow VA 20136-2201 |
Practice Telephone | 5404549944 |
Practice Fax Number | 5406802143 |
Mailing Telephone | 5404549944 |
Mailing Fax Number | 5406802143 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2015-04-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
0101236758 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | CARE FIRST 2005 | K142-0001 | 01 |
VA | ANTHEM | 139180 | 01 |
VA | KAISER | 249158 | 01 |
VA | AMERIGROUP | 292852 | 01 |
VA | NCPPO | 484645 | 01 |
VA | RAILROAD MEDICARE | P00322422 | 01 |
VA | 1205920246 | 05 |
Street Address |
10302 BRISTOW CENTER DR ST 173 |
City | BRISTOW |
State | VA |
Zip Code | 20136-2201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437506698 | Exceptional Child Advocates LLC | Behavioral Analyst | 10302 Bristow Center Dr, Suite 62, Bristow, VA 20136-2201 | 2016-05-18 |
1013395219 | Exceptional Family Member Advocates LLC | Behavioral Analyst | 10302 Bristow Center Dr, Suite 62, Bristow, VA 20136-2201 | 2015-05-08 |
1346661220 | Gb Anesthesia Services | Specialist | 10302 Bristow Center Dr, Suite 173, Bristow, VA 20136-2201 | 2013-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518405802 | Dharika Bhavsar | Nurse Practitioner | 12207 Desoto Falls Ct, Bristow, VA 20136 | 2017-02-07 |
1902284649 | Paul Choi | Physical Therapist | 6858 Old Dominion Drive, Mclean, VA 20136 | 2015-05-14 |
1700123031 | Sunlight Home Care Agency | Home Health | 8902 Stable Forest Pl, Bristow, VA 20136 | 2013-01-07 |
1437407996 | Elizabeth Michelle Bender | Specialist/Technologist | 12171 Hopper Lane, Bristow, VA 20136 | 2012-08-15 |
1477793966 | Pediatrics First Speech Therapy | Speech-Language Pathologist | 10056 Pentland Hills Way, Bristow, VA 20136 | 2009-02-24 |
1750599247 | Harris Teeter, LLC | Pharmacy | 10438 Bristow Center Dr., Bristow, VA 20136 | 2007-05-18 |
1588760490 | Margaret Precious Neal-stubblefield | Dentist | 12701 Braemar Village Plaza, Bristow, VA 20136 | 2006-09-16 |
1538726203 | Brightstone, LLC | Family Medicine | 10040 Pentland Hills Way, Bristow, VA 20136 | 2019-05-28 |
1578766036 | Kevin Wade Toms | Dentist | 9070 Devlin Rd, #140, Bristow, VA 20136-1041 | 2007-06-11 |
1407011869 | Michelle Klima Toms | Dentist | 9070 Devlin Rd, Suite 140, Bristow, VA 20136-1041 | 2008-07-25 |
Find all providers in zip 20136 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568821221 | Virginia Innovative Pain and Spine | Anesthesiology | 2532 Mill Rd, Powhatan, VA 23139-5203 | 2016-02-23 |
1285919472 | Pca Pain Care Center of Virigina, Inc | Anesthesiology | 825 Davis St # E, Blacksburg, VA 24060-7013 | 2011-10-19 |
1659667327 | Parviz Navidi | Anesthesiology | 899 Chinquapin Rd, Mc Lean, VA 22102-1039 | 2011-06-21 |
1013165331 | Cody Rowan | Anesthesiology | 575 Ray C Hunt Dr, Charlottesville, VA 22903 | 2008-08-28 |
1619149648 | Professional Anesthesia Group, LLC | Anesthesiology | 1500 Dixon St Ste 101, Fredericksburg, VA 22401-7231 | 2008-03-31 |
1881875920 | Memorial Anesthesia, LLC | Anesthesiology | 8262 Atlee Rd., Mob 3 #100, Mechanicsville, VA 23116 | 2007-11-16 |
1073708566 | Joseph Kevin Statkus | Anesthesiology | 106 Keswick Ct, Winchester, VA 22602-7807 | 2007-09-08 |
1043403504 | Nova Pain Clinic Inc | Anesthesiology | 6151 Fuller Ct, Alexandria, VA 22310-2541 | 2007-08-19 |
1144340514 | John C. Rowlingson | Anesthesiology | 2nd Hospital Dr, Charlottesville, VA 22908-0001 | 2007-03-30 |
1356469522 | Chheany Walter Ung | Anesthesiology | 3800 Electric Rd, Suite 307, Roanoke, VA 24018-4569 | 2007-03-27 |
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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.