GUSTAVO A CORRALES (NPI# 1326249889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326249889 |
| Entity Type | Individual |
| Full Name | GUSTAVO A CORRALES |
| Credential | M.D. |
| Practice Address |
410 S Washington St Falls Church VA 22046 |
| Mailing Address |
410 S Washington St Falls Church VA 22046-4412 |
| Practice Telephone | 7035320728 |
| Practice Fax Number | 8889729036 |
| Mailing Telephone | 7035320728 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 003086 | NY | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MT187242 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BLUE CROSS BLUE SHIELD | 650A21 | 01 |
| Street Address |
410 S WASHINGTON ST |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013358514 | Eyedata - Eye Doctors and Technology Advantage | Clinic/Center | 410 S Washington St, Falls Church, VA 22046-4412 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735794 | Megan Katherine Hassan | Speech-Language Pathologist | 803 West Broad Street, Suite 100, Falls Church, VA 22046 | 2019-11-25 |
| 1205481173 | Michael William Wirtz | Physical Therapist | 510 South Washington Street, Ste. A, Falls Church, VA 22046 | 2019-08-07 |
| 1629636568 | Meaghan A Souza | Physical Therapist | 510 S Washington Street, Suite A, Falls Church, VA 22046 | 2019-06-05 |
| 1619478963 | Teresa Rosas | Dentist | Blvd Fundadores #8417-21, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-22 |
| 1174022974 | Bio Medical Center | Radiology | 3170 General Ferreira, Colonia Madero Sur, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-07 |
| 1558875385 | M & R Taxi Company, Inc. | Non-emergency Medical Transport (VAN) | 1115 West Broad St., Falls Church, VA 22046 | 2017-12-01 |
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1184140501 | Christopher Grivas | Chiropractor | 510 W Annandale Road, Suite 300, Falls Church, VA 22046 | 2017-08-17 |
| 1831562719 | Strategy Anesthesia Virginia, LLC | Anesthesiology | 502 W Broad Street (route 7), Falls Church, VA 22046 | 2015-11-02 |
| 1851762025 | Edward A Stern | Registered Nurse | 201 N Washington Street, C/o Kaiser Permanente, Falls Church, VA 22046 | 2015-10-14 |
| Find all providers in zip 22046 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710206057 | Alexandre F Gauthier | Ophthalmology | 6400 Arlington Blvd Ste 600, Falls Church, VA 22042-2349 | 2010-05-26 |
| 1366543068 | Bert B Souryal | Ophthalmology | 7923 Landing Ln, Falls Church, VA 22043-3420 | 2006-09-26 |
| 1972609469 | Amy R Jeffery | Ophthalmology | 6231 Leesburg Pike Suite 608, Falls Church, VA 22044-2102 | 2006-09-15 |
| 1699870600 | Hameed U Peracha | Ophthalmology | 3400 Payne St, Suite 200, Falls Church, VA 22041-2313 | 2006-09-14 |
| 1811981483 | Jorge Luis Campana | Ophthalmology | 6201 Leesburg Pike, Suite 200, Falls Church, VA 22044-2201 | 2005-09-09 |
| 1295730125 | Nancy Able Morrison | Ophthalmology | 6231 Leesburg Pike Ste 608, Falls Church, VA 22044-2102 | 2005-06-16 |
| 1952304156 | John Henry Varga | Ophthalmology | 1002 Seaton Ln, Falls Church, VA 22046-3918 | 2005-05-23 |
| 1861837098 | Jinali Diora | Ophthalmology | 6231 Leesburg Pike Ste 608, Falls Church, VA 22044-2102 | 2013-05-01 |
| 1548575921 | John T Mcallister | Ophthalmology | 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044-2102 | 2010-08-10 |
| 1083841886 | Sonya Babar Shah | Ophthalmology | 6231 Leesburg Pike, Suite 608, Falls Church, VA 22044-2102 | 2009-06-18 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22046 |
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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.