CHISOVEREIGN PLLC (NPI# 1225454291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225454291 |
| Entity Type | Organization |
| Organization Name | CHISOVEREIGN PLLC |
| Practice Address |
3975 Fair Ridge Dr Suite 150n Fairfax VA 22033-2911 |
| Practice Telephone | 7032460011 |
| Practice Fax Number | 7032460012 |
| Mailing Telephone | 7032460011 |
| Mailing Fax Number | 7032460012 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | DR. IJEOMA N NNAMANI (DIRECTOR) |
| Authorized Official Telephone | 7035052476 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
0101246435 | VA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | ChiSovereign PLLC | 3975 Fair Ridge Drive, Suite 150n, Fairfax, Virginia 22033 |
| Street Address |
3975 FAIR RIDGE DR SUITE 150N |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316022734 | Paul Michael Lee | Dentist | 3975 Fair Ridge Dr, North Building Suite #305, Fairfax, VA 22033-2911 | 2006-10-25 |
| 1336512342 | Michael S. Song Dds, PC | Dentist | 3975 Fair Ridge Dr, Suite #301n, Fairfax, VA 22033-2911 | 2015-11-12 |
| 1821265570 | Ijeoma Nnechi Nnamani | Psychiatry & Neurology | 3975 Fair Ridge Dr, Suite 150n, Fairfax, VA 22033-2911 | 2008-05-13 |
| 1235318569 | Michael Soo-hyung Song | Dentist | 3975 Fair Ridge Dr, Suite #301 North, Fairfax, VA 22033-2911 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1124407135 | Belite Medical Center | Clinic/Center | 3923 Old Lee Hwy, 61 A, Fairfax, VA 22030-2428 | 2015-05-22 |
| 1447684691 | Virginia Endocrinology Consultants | Clinic/Center | 3022 Javier Rd, Suites 105g, Fairfax, VA 22031-4645 | 2013-08-23 |
| 1235561549 | Better Health Clinic, Inc | Clinic/Center | 3022 Javier Rd, Suite 205, Fairfax, VA 22031-4645 | 2013-08-08 |
| 1730212747 | Anu Gupta Md PC | Clinic/Center | 10301 Democracy Ln, Fairfax, VA 22030-2545 | 2007-03-13 |
| 1063443802 | Gastrointestinal Medicine Associates, PC | Clinic/Center | 3700 Joseph Siewick Dr, Suite 401, Fairfax, VA 22033-1744 | 2006-07-06 |
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|---|---|---|---|---|
| 1164056941 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
| 1861989105 | Lgn Weight Loss, LLC | Clinic/Center | 1114 E Main St Ste 6, Lebanon, VA 24266-5014 | 2018-04-20 |
| 1346746484 | Flex Massage Therapy, Inc | Clinic/Center | 700 Baker Rd Ste 115, Virginia Beach, VA 23462-1034 | 2018-04-05 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1346615390 | Caring Center Pllc | Clinic/Center | 19465 Deerfield Ave Ste 410, Leesburg, VA 20176-1708 | 2015-12-02 |
| 1093148314 | Ready Set Sleep Nurse LLC | Clinic/Center | 901 E Timber Branch Pkwy, Alexandria, VA 22302-3231 | 2013-08-11 |
| 1487944070 | Prince William Chiropractic Clinic | Clinic/Center | 2026 Opitz Blvd Ste B, Woodbridge, VA 22191-3332 | 2011-04-15 |
| 1356677306 | Hwang H. Junn Md Im/geri Plc | Clinic/Center | 4216 Evergreen Lane, Suite 111, Annandale, VA 22003-3253 | 2009-10-27 |
| 1891925509 | Dulles Internal Medicine, PC | Clinic/Center | 22636 Glenn Dr Ste 101, Sterling, VA 20164-4442 | 2009-07-16 |
| Find all providers with the same taxonomy | ||||
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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.