BEVERLY A WHITTENBERG (NPI# 1366483034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366483034 |
| Entity Type | Individual |
| Full Name | BEVERLY A WHITTENBERG |
| Credential | MD |
| Practice Address |
8501 Arlington Blvd Ste 410 Fairfax VA 22031 |
| Mailing Address |
11350 Mccormick Road Executive Plaza 1, Suite 501 Hunt Valley MD 21031 |
| Practice Telephone | 7037384331 |
| Practice Fax Number | 7036421876 |
| Mailing Telephone | 4103291071 |
| Mailing Fax Number | 4103291054 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 0101239973 | VA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
0101239973 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
8501 ARLINGTON BLVD STE 410 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336117373 | Rodney B Dade | Physical Medicine & Rehabilitation | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4632 | 2006-03-08 |
| 1891207023 | Lindsey A Lee | Nurse Practitioner | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 | 2017-10-27 |
| 1316465461 | Physical Medicine Associates, Ltd | Pain Medicine | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 | 2017-09-08 |
| 1194172726 | Michelle Marie Jacques | Massage Therapist | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 | 2016-05-24 |
| 1255682175 | Yelena Game | Physician Assistant | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031 | 2012-10-02 |
| 1376509109 | Maggie Lynn Ipsaro | Physician Assistant | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031 | 2006-04-21 |
| 1457329997 | Robert Harrison Wagner | Physical Medicine & Rehabilitation | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465461 | Physical Medicine Associates, Ltd | Pain Medicine | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561493 | Margaret Ann Rickman | Pain Medicine | 80 College St Ste E, Christiansburg, VA 24073-2985 | 2020-02-27 |
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1821561382 | Barton Joseph Adams | Pain Medicine | 1899 Oracle Way Apt 428, Reston, VA 20190-6735 | 2019-01-08 |
| 1114496734 | Coastal Virginia Spine and Pain Center LLC | Pain Medicine | 329 Edwin Dr Ste 100, Virginia Beach, VA 23462-4522 | 2018-11-14 |
| 1538427844 | Killpain LLC | Pain Medicine | 45929 Maries Road, Suite 100, Sterling, VA 20166 | 2012-04-25 |
| 1851617120 | Teresa Marie Kerge | Pain Medicine | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2010-04-12 |
| 1114253366 | Spinal Atrs Institute, Pllc | Pain Medicine | 11412 Georgetown Pike, Great Falls, VA 22066-1316 | 2009-10-22 |
| 1538314208 | Qi Lin | Pain Medicine | 1356 Sir Richard Rd, Virginia Beach, VA 23455-4917 | 2008-11-22 |
| 1871767459 | Mark W Newman | Pain Medicine | 223 Bulifants Blvd Ste C, Williamsburg, VA 23188-5734 | 2008-04-15 |
| 1306940028 | Blue Ridge Pain Treatment Centers | Pain Medicine | 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 2006-09-12 |
| Find all providers with the same taxonomy | ||||
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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.