NOVA ADDICTION SPECIALISTS LLLC (NPI# 1245789460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245789460 |
| Entity Type | Organization |
| Organization Name | NOVA ADDICTION SPECIALISTS LLLC |
| Practice Address |
101 N Columbus St Suite 405 Alexandria VA 22314-3056 |
| Practice Telephone | 7033401304 |
| Practice Fax Number | 8889657708 |
| Mailing Telephone | 7033401304 |
| Mailing Fax Number | 8889657708 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | DR. MICHAEL HOMEYER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7033401304 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
101 N COLUMBUS ST SUITE 405 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120483 | Global Health Services | Internal Medicine | 6395 Little River Tpke, Alexandria, VA 22312-5003 | 2020-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790304616 | Mind Bridge Center LLC | Internal Medicine | 1390 Chain Bridge Rd # 10033, Mc Lean, VA 22101-3904 | 2020-04-10 |
| 1053945428 | Radical Recovery Treatment Center Inc | Internal Medicine | 5040 Virginia Beach Blvd Ste 104, Virginia Beach, VA 23462-6637 | 2020-02-25 |
| 1184791725 | Alta J. Deroo | Internal Medicine | 767 Madison Rd Ste 107, Culpeper, VA 22701 | 2006-11-29 |
| 1881639375 | Sergey Zhitar | Internal Medicine | 101 N Lynnhaven Rd, Suite 100, Virginia Beach, VA 23452-7523 | 2006-06-18 |
| 1295724888 | Farook A. Shaikh | Internal Medicine | 6305 Castle Pl, Suite 3c, Falls Church, VA 22044-1905 | 2005-10-17 |
| 1992790406 | Jann L Holwick | Internal Medicine | 2609 Sheffield Dr Ste 100, Blacksburg, VA 24060-8271 | 2005-09-12 |
| 1932554953 | Lotus Health, LLC | Internal Medicine | 2300 Dumbarton Rd, Richmond, VA 23228-6014 | 2016-04-27 |
| 1669858635 | Legacy Health Management Solutions | Internal Medicine | 5206 Markel Rd, Suite 102, Richmond, VA 23230-3044 | 2015-07-31 |
| 1710305990 | Radhika A Manhapra Md Pllc | Internal Medicine | 4509 Whitechapel Dr, Virginia Beach, VA 23455-6447 | 2014-04-03 |
| 1356778138 | Right Path Treatment Center LLC | Internal Medicine | 101 N Lynnhaven Rd, Suite 100, Virginia Beach, VA 23452-7523 | 2013-10-11 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
Please comment or provide details below to improve the information on NOVA ADDICTION SPECIALISTS LLLC.
| 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.