NOVA WOUND CARE, P.C. (NPI# 1255673943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255673943 |
| Entity Type | Organization |
| Organization Name | NOVA WOUND CARE, P.C. |
| Other Organization Name | TKR GROUP, INC. |
| Practice Address |
10521 Rosehaven St Ste 210 Fairfax VA 22030 |
| Mailing Address |
10521 Rosehaven St Ste 210 Fairfax VA 22030-2877 |
| Practice Telephone | 7036524251 |
| Practice Fax Number | 7036528470 |
| Mailing Telephone | 7036524251 |
| Mailing Fax Number | 7036528470 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2018-12-09 |
| Authorized Official Name | DR. TIMOTHY ROBERT LAPHAM (OWNER) |
| Authorized Official Telephone | 7036524251 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TKR Group, Inc. | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3700 Joseph Siewick Dr Ste 105, Fairfax, VA 220331737 | 7033913784 | |
| 2501 Parkers Ln, Alexandria, VA 223063209 | 7036648025 | |
| 3299 Woodburn Rd Ste 180, Annandale, VA 220037315 | 7038762710 | |
| 44055 Riverside Pkwy Ste 118, Leesburg, VA 201765155 | 7038586399 | 7038586305 |
| 3299 Woodburn Rd, Ste 180, Annandale, VA 220031275 | 7038762710 | 7038762718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063816155 | Nova Wound Care, P.C. | Family Medicine | 3700 Joseph Siewick Dr, 303, Fairfax, VA 22033-1744 | 2014-10-17 |
| Street Address |
10521 ROSEHAVEN ST STE 210 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760778120 | Kapil Verma | Plastic Surgery | 10521 Rosehaven St Ste 210, Fairfax, VA 22030-2877 | 2011-06-23 |
| 1225382492 | Genevieve Petraglia | Nurse Practitioner | 10521 Rosehaven St Ste 210, Fairfax, VA 22030-2877 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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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| 1225454291 | Chisovereign Pllc | Clinic/Center | 3975 Fair Ridge Dr, Suite 150n, Fairfax, VA 22033-2911 | 2014-03-13 |
| 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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| 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.