ACRO MEDICAL GROUP, LLC (NPI# 1326550989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326550989 |
| Entity Type | Organization |
| Organization Name | ACRO MEDICAL GROUP, LLC |
| Practice Address |
2106 Gallows Rd, Ste F Vienna VA 22182 |
| Practice Telephone | 7038283373 |
| Practice Fax Number | 7038280227 |
| Mailing Telephone | 7038283373 |
| Mailing Fax Number | 7038280227 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | JUNGHEE SHU (CEO) |
| Authorized Official Telephone | 7038283373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2106 GALLOWS RD, STE F |
| City | VIENNA |
| State | VA |
| Zip Code | 22182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| 1396184057 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14605 Potomac Branch Dr., Suite 300, Woodbridge, VA 22182 | 2013-06-17 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759903 | Healing Hands Medical Center | Family Medicine | 1964 Gallows Rd Ste 300, Vienna, VA 22182-3814 | 2020-04-22 |
| 1003264730 | Anh Truong | Family Medicine | 115 Park St Se Ste 300, Vienna, VA 22180-4653 | 2016-06-03 |
| 1194136986 | Kimaya M Vaidya | Family Medicine | 2671 Avenir Pl Ste B, Vienna, VA 22180-7485 | 2014-05-14 |
| 1780815738 | Saira Thompson | Family Medicine | 2671 Avenir Pl, Vienna, VA 22180-7485 | 2009-08-06 |
| 1013144419 | Eric M Thomson | Family Medicine | 115 Park Street Se, Suite 300, Vienna, VA 22180 | 2009-06-12 |
| 1942412333 | Lynese L Lawson | Family Medicine | 2104 Gallows Rd, Vienna, VA 22182-3929 | 2007-05-05 |
| 1184848004 | Barnett G Mennen | Family Medicine | 1880 Howard Ave, Suite 300, Vienna, VA 22182-2667 | 2007-04-12 |
| 1013032283 | Fairfax Family Practice Centers PC | Family Medicine | 115 Park Street, Suite 300, Vienna, VA 22180 | 2007-03-20 |
| 1609911601 | Fakhria Masumi Khorrami | Family Medicine | 180 Maple Ave W, Vienna, VA 22180-5727 | 2007-02-20 |
| 1700942711 | Homaira Behsudi-wali | Family Medicine | 1608 Spring Hill Rd, Emergency Usa Family Medical Center, Vienna, VA 22182 | 2006-12-28 |
| Find all providers in VIENNA | ||||
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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.