MRS. SHARA MAE SISON CHEN (NPI# 1316330525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316330525 |
| Entity Type | Individual |
| Full Name | MRS. SHARA MAE SISON CHEN |
| Credential | PA-C |
| Practice Address |
4208 Evergreen Ln Ste 213 Annandale VA 22003-3254 |
| Practice Telephone | 7036427522 |
| Practice Fax Number | 7036427565 |
| Mailing Telephone | 7036427522 |
| Mailing Fax Number | 7036427565 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006465 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 52331 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Sutter St, #100, Concord, CA 945202563 | 9256910500 |
| Street Address |
4208 EVERGREEN LN STE 213 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588953780 | Elham Waheeda Altaf | Obstetrics & Gynecology | 4208 Evergreen Ln Ste 213, Annandale, VA 22003-3254 | 2011-03-29 |
| 1790203719 | Women Families First Inc. | Obstetrics & Gynecology | 4208 Evergreen Ln Ste 213, Annandale, VA 22003-3254 | 2017-08-30 |
| 1861759227 | Jessica Lauren Sommer | Obstetrics & Gynecology | 4208 Evergreen Ln Ste 213, Annandale, VA 22003-3254 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875695 | Billie Taewoo Yi | Physician Assistant | 7489 Adams Park Ct, Annandale, VA 22003-5724 | 2020-06-13 |
| 1114268612 | Jennie Nguyen | Physician Assistant | 4114 Bennett Dr, Annandale, VA 22003-3401 | 2013-03-07 |
| 1407861115 | Ly-lan Schofield Bergeron | Physician Assistant | 6715 Little River Tpke, 201, Annandale, VA 22003-3546 | 2006-07-30 |
| 1396788600 | Lauren Heather Meth | Physician Assistant | 7617 Little River Turnpike, #600, Annandale, VA 22003 | 2006-06-14 |
| 1497224653 | Alyssa Suchar | Physician Assistant | 7432 Little River Tpke, Annandale, VA 22003-3013 | 2018-11-17 |
| 1730655812 | Rachel Noel Gerardy | Physician Assistant | 7432 Little River Tpke, Annandale, VA 22003-3013 | 2018-10-16 |
| 1609342872 | Alex Truong | Physician Assistant | 7432 Little River Tpke, Annandale, VA 22003-3013 | 2018-10-15 |
| 1740594928 | Andrea Lynn Keller | Physician Assistant | 3301 Woodburn Rd, Suite 209, Annandale, VA 22003-1229 | 2010-07-30 |
| 1104159425 | Natalie Marie Bernys | Physician Assistant | 6715 Little River Tpke, Suite 201, Annandale, VA 22003-3546 | 2009-09-18 |
| 1639364524 | Hannah Margaret Fischer | Physician Assistant | 440 Elm St E, Annandale, MN 55302-1109 | 2007-09-13 |
| Find all providers in ANNANDALE | ||||
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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.