NORTHERN VIRGINIA SURGERY CENTER ANESTHESIA (NPI# 1356734412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356734412 |
| Entity Type | Organization |
| Organization Name | NORTHERN VIRGINIA SURGERY CENTER ANESTHESIA |
| Practice Address |
3620 Joseph Siewick Dr Suite 202 Fairfax VA 22033-1756 |
| Mailing Address |
Po Box 612402 Dallas TX 75261-2402 |
| Practice Telephone | 7037666960 |
| Practice Fax Number | 7037666980 |
| Mailing Telephone | 8003944445 |
| Mailing Fax Number | 7066501034 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | BRIAN P WOODS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2146870015 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Northern Virginia Surgery Center Anesthesia LLC | 1302 Rising Ridge Road Suite #1, Mount Airy, Maryland 21771 |
| Street Address |
3620 JOSEPH SIEWICK DR SUITE 202 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671414 | Adil Zahoor Ghauri | Internal Medicine | 3620 Joseph Siewick Dr, 306, Fairfax, VA 22033-1756 | 2005-07-07 |
| 1144878190 | Nicolas Gay | Physical Therapist | 3620 Joseph Siewick Dr, Suite 201, Fairfax, VA 22033-1758 | 2019-09-03 |
| 1164938247 | Han Thi Ngoc Nguyen | Nurse Practitioner | 3620 Joseph Siewick Dr, Ste 406, Fairfax, VA 22033-1761 | 2017-12-27 |
| 1265885107 | Allison Elizabeth Simons | Physical Therapist | 3620 Joseph Siewick Dr, Suite 106, Fairfax, VA 22033-1756 | 2016-07-15 |
| 1710345525 | Paola Andrea Garcia Veizaga | Physical Therapist | 3620 Joseph Siewick Dr, Fairfax, VA 22033-1756 | 2016-02-08 |
| 1427436062 | Maria Tadic | Dietitian, Registered | 3620 Joseph Siewick Dr, Suite 200, Fairfax, VA 22033-1756 | 2015-05-15 |
| 1780078030 | Gretta Herbert | Specialist | 3620 Joseph Siewick Dr, Suite 307, Fairfax, VA 22033-1756 | 2015-03-25 |
| 1396137956 | Sarah Margerison | Physical Therapist | 3620 Joseph Siewick Dr, Suite 100-a, Fairfax, VA 22033-1756 | 2015-02-19 |
| 1457796641 | Renascance Dermatology PC | Dermatology | 3620 Joseph Siewick Dr, Suite 303, Fairfax, VA 22033-1756 | 2013-05-01 |
| 1962749374 | Andrew David Elkins | Physician Assistant | 3620 Joseph Siewick Dr, Ste 100, Fairfax, VA 22033-1757 | 2013-01-07 |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457562720 | Shayla Kristin Gaither | Anesthesiology | 3600 Joseoh Siewick Dr, Fairfax, VA 22033 | 2007-05-25 |
| 1750484275 | Raul Abalos Moran | Anesthesiology | 10734 Main Street, Fairfax, VA 22030 | 2006-09-07 |
| 1760584247 | Mita D Shah | Anesthesiology | 10875 Main St Ste 105, Fairfax, VA 22030-4732 | 2006-09-03 |
| 1568464121 | Frank Mathieu | Anesthesiology | 3998 Fair Ridge Dr., Suite 320, Fairfax, VA 22033-2921 | 2005-08-12 |
| 1326049396 | Ziad Yafi | Anesthesiology | 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2921 | 2005-08-02 |
| 1609357235 | Advanced Dental Anesthesia Pllc | Anesthesiology | 10611 Braddock Rd, Fairfax, VA 22032-2201 | 2018-08-22 |
| 1003283938 | Mid Atlantic Pain Management, LLC | Anesthesiology | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0985 | 2015-08-26 |
| 1578984852 | North American Partners In Anesthesia Florida LLC | Anesthesiology | 3998 Fair Ridge Dr., Ste 300, Fairfax, VA 22033-2921 | 2014-01-03 |
| 1316102874 | Valerie Ann Gouzd | Anesthesiology | 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907 | 2008-07-24 |
| 1780846113 | Mirja Laroche | Anesthesiology | 3600 Joseph Siewick Dr, Anesthesia Dept, Fairfax, VA 22033-1709 | 2008-06-26 |
| 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.