INFECTIOUS DISEASES SPECIALISTS OF VIRGINIA, LLC (NPI# 1336181882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336181882 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASES SPECIALISTS OF VIRGINIA, LLC |
| Practice Address |
3700 Joseph Siewick Dr Suite 209 Fairfax VA 22033-1744 |
| Practice Telephone | 7037582664 |
| Practice Fax Number | 7037582668 |
| Mailing Telephone | 7037582664 |
| Mailing Fax Number | 7037582668 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | MRS. ANDREA GAMBLE SALL (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7033582664 |
| Authorized Official Credential | BSN/RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
3700 JOSEPH SIEWICK DR SUITE 209 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288315 | Marietta F Grundlehner | Specialist | 3700 Joseph Siewick Dr, #305, Fairfax, VA 22033-1744 | 2005-07-08 |
| 1720640790 | Samon Nazemian | Clinic/Center | 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744 | 2019-07-01 |
| 1780112961 | Sylvie C Gatcham Tieuzu'u | Specialist/Technologist, Other | 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744 | 2017-06-01 |
| 1215311592 | Stacey Michelle Akers | Nurse Practitioner | 3700 Joseph Siewick Dr, Suite 300, Fairfax, VA 22033-1744 | 2015-07-16 |
| 1851784714 | Waheedullah Ahmadi | Specialist/Technologist, Other | 3700 Joseph Siewick Dr, 408, Fairfax, VA 22033-1744 | 2015-03-16 |
| 1063816155 | Nova Wound Care, P.C. | Family Medicine | 3700 Joseph Siewick Dr, 303, Fairfax, VA 22033-1744 | 2014-10-17 |
| 1144523218 | Shohreh Sharif | Dentist | 3700 Joseph Siewick Dr, Suite 104, Fairfax, VA 22033-1744 | 2010-12-13 |
| 1003126285 | Kristin Dermody Maggi | Physician Assistant | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2010-10-20 |
| 1821305079 | Morgan Elizabeth Klein | Physician Assistant | 3700 Joseph Siewick Dr, Ste 404, Fairfax, VA 22033-1744 | 2010-09-09 |
| 1568781706 | Ivan Peter Harnden | Internal Medicine | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2010-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740480771 | Prachi Chandrashekhar Ranade | Internal Medicine | 11211 Waples Mill Rd Ste 200, Fairfax, VA 22030-7406 | 2007-07-18 |
| 1063610855 | Infectious Disease Specialists of Nova LLC | Internal Medicine | 3732 Freehill Ln, Fairfax, VA 22033-5304 | 2007-07-03 |
| 1548361033 | Murliya D Gowda | Internal Medicine | 11211 Waples Mill Rd, Suite #200, Fairfax, VA 22030-7406 | 2006-09-26 |
| 1265459812 | Jane H. Pollner | Internal Medicine | 11211 Waples Mill Road, Suite 200, Fairfax, VA 22030-7406 | 2006-07-17 |
| 1942256672 | Richard Kenneth Sall | Internal Medicine | 3700 Joseph Siewick Drive, Ste 209, Fairfax, VA 22033 | 2006-05-25 |
| 1942599634 | Trevor Michio Uyemura | Internal Medicine | 11211 Waples Mill Rd, Ste 200, Fairfax, VA 22030-7406 | 2011-04-01 |
| 1801080197 | Gelareh K Alavi | Internal Medicine | 11211 Waples Mill Rd Ste 200, Fairfax, VA 22030-7406 | 2007-08-30 |
| 1710078951 | Infectious Disease Consultants | Internal Medicine | 11211 Waples Mill Road, Suite 200, Fairfax, VA 22030-7406 | 2006-09-27 |
| 1033130430 | Stephen E. Weinroth | Internal Medicine | 11211 Waples Mill Road, Suite 200, Fairfax, VA 22030-7406 | 2006-07-21 |
| 1265489868 | Henry Hyung Back Rhee | Internal Medicine | 3700 Joseph Siewick Drive, Suite 209, Fairfax, VA 22033 | 2006-05-28 |
| Find all providers in FAIRFAX | ||||
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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.