MAMI NISHIWAKI MARTIN (NPI# 1245261338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245261338 |
| Entity Type | Individual |
| Full Name | MAMI NISHIWAKI MARTIN |
| Credential | M.D. |
| Practice Address |
1715 N George Mason Dr 403 Arlington VA 22205-3609 |
| Mailing Address |
6035 Burke Centre Pkwy 390 Burke VA 22015-3750 |
| Practice Telephone | 7037174300 |
| Practice Fax Number | 7037174301 |
| Mailing Telephone | 7039781196 |
| Mailing Fax Number | 7039787762 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 010130869 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 874231 | 1710036611 | 01 | |
| VA | 7399162 | 05 |
| Street Address |
1715 N GEORGE MASON DR 403 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153111 | Deepali Kothary | Obstetrics & Gynecology | 1715 N George Mason Dr, Ste 406, Arlington, VA 22205-3662 | 2005-06-09 |
| 1578179891 | Kirsten Campbell | Physical Therapist | 1715 N George Mason Dr, Arlington, VA 22205-3609 | 2020-09-22 |
| 1346897949 | Patrick Choate | Physical Therapist | 1715 N George Mason Dr, Arlington, VA 22205-3609 | 2019-08-20 |
| 1497291769 | Thomas Stormer | Physical Therapist | 1715 N George Mason Dr, Suite 503, Medical Offices C, Arlington, VA 22205-3609 | 2017-01-11 |
| 1962850685 | Maureen Bradley | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-06-03 |
| 1952758591 | Dianne W Robbins | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-05-24 |
| 1891142543 | Kelly Mcgraw | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-05-23 |
| 1518314509 | Sharon Lynn Goldman | Specialist | 1715 N George Mason Dr, Suite 504, Arlington, VA 22205-3609 | 2016-05-19 |
| 1013394725 | Allergy Partners, Pa | Allergy & Immunology | 1715 N George Mason Dr, Suite 307, Arlington, VA 22205-3609 | 2015-05-01 |
| 1528475118 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1715 N George Mason Dr, Suite 409, Arlington, VA 22205-3609 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1538681788 | Andrea Paulette Redic | Specialist | 2141 N Collins St Ste 503, Arlington, TX 76011-2812 | 2017-07-10 |
| 1649705112 | Gregory Morgan Rose | Specialist | 2025 Randy Snow Rd Apt 227, Arlington, TX 76011-8921 | 2017-04-21 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1497201164 | Mayrena Isamar Hernandez | Specialist | 7201 Lake Jackson Dr, Arlington, TX 76002-4070 | 2016-08-31 |
| 1396192126 | Paul Aaron Petty | Specialist | 1715 N George Mason Dr Ste 503, Arlington, VA 22205-3669 | 2016-05-23 |
| 1174990535 | Angenique Miles-lewis | Specialist | 3901 W Arkansas Ln Ste 116, Arlington, TX 76016-1400 | 2015-09-01 |
| 1831575778 | Rais Ul Ghani | Specialist | 922 Winterwood Ct, Arlington, TX 76017-6139 | 2015-08-03 |
| 1760888598 | Sarah Walsh | Specialist | 1301 S Cleveland St Apt 357, Arlington, VA 22204-4872 | 2014-11-05 |
| 1962806869 | A New Weigh Center Corp | Specialist | 306 E Randol Mill Rd Ste 136, Arlington, TX 76011-5841 | 2014-10-21 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| Find all providers in ARLINGTON | ||||
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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.