ATITEGEB TIBEBU (NPI# 1225190168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225190168 |
| Entity Type | Individual |
| Full Name | ATITEGEB TIBEBU |
| Credential | MD |
| Practice Address |
6845 Elm St Ste 710 Mc Lean VA 22101-3851 |
| Mailing Address |
10403 Hospital Drive Suite G4 Clinton MD 20735-3137 |
| Practice Telephone | 7032052626 |
| Practice Fax Number | 7032057323 |
| Mailing Telephone | 3019528614 |
| Mailing Fax Number | 3016271603 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D0053643 | MD | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 0101840610 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6409 S. Crain Highway, Route 301, Upper Marlboro, MD 207724139 | 3019528614 | 3016271603 |
| Street Address |
6845 ELM ST STE 710 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011224 | Roma Edoo-sowah | Internal Medicine | 6845 Elm St Ste 710, Mc Lean, VA 22101-3851 | 2006-07-08 |
| 1609966258 | Vibha Thakral-saalinger | Internal Medicine | 6845 Elm St Ste 710, Mc Lean, VA 22101-3851 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199194 | Abyssinia Medical Center | Internal Medicine | 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 | 2020-06-20 |
| 1144881301 | Alegis Care Services LLC | Internal Medicine | 8484 Westpark Dr Ste 950, Mc Lean, VA 22102-5147 | 2019-06-27 |
| 1730551698 | Lync Health PC | Internal Medicine | 6625 Madison Mclean Dr, Mc Lean, VA 22101-2902 | 2015-10-30 |
| 1417377730 | Daniel Hyun Kil | Internal Medicine | 1205 Woodlea Mill Ct, Mc Lean, VA 22102-2313 | 2014-04-25 |
| 1821331695 | Lillian Gavrilovich | Internal Medicine | 1009 Union Church Rd, Mc Lean, VA 22102-1114 | 2013-03-31 |
| 1104182559 | Aras Frank Kay | Internal Medicine | 8231 Crestwood Heights Dr, 1606, Mc Lean, VA 22102-3216 | 2012-04-10 |
| 1548536311 | Life Extension Institute, Inc. | Internal Medicine | 8300 Greensboro Dr Ste 1050, Mc Lean, VA 22102-3611 | 2012-03-27 |
| 1104119783 | Gautam Gulati | Internal Medicine | 1308 Sunny Side Ln, Mc Lean, VA 22102-1526 | 2011-05-16 |
| 1396903282 | Kawan Mohammad Barawy | Internal Medicine | 7456 Carriage Hills Dr, Mc Lean, VA 22102-2944 | 2008-05-28 |
| 1306057096 | Alyce Girardi | Internal Medicine | 1235 Colonial Rd, Mc Lean, VA 22101-2915 | 2007-05-24 |
| Find all providers in MC LEAN | ||||
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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.