FOUR SEASONS ACUPUNCTURE & WELLNESS (NPI# 1407357072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407357072 |
| Entity Type | Organization |
| Organization Name | FOUR SEASONS ACUPUNCTURE & WELLNESS |
| Practice Address |
11130 Fairfax Blvd Ste 204 Fairfax VA 22030-5035 |
| Practice Telephone | 7037178573 |
| Practice Fax Number | 7035639383 |
| Mailing Telephone | 7037178573 |
| Mailing Fax Number | 7035639383 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | MR. WONSIK UM (PRESIDENT) |
| Authorized Official Telephone | 7037178573 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
0121000772 | VA | Ambulatory Health Care Facilities |
| Street Address |
11130 FAIRFAX BLVD STE 204 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922463876 | Wonsik Um | Acupuncturist | 11130 Fairfax Blvd Ste 204, Fairfax, VA 22030-5035 | 2015-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633963 | Life Over Pain Neuropathy Center LLC | Clinic/Center | 11039 Hull Street Rd, Midlothian, VA 23112-3254 | 2020-06-16 |
| 1679089957 | Seoul Acupuncture Clinic LLC | Clinic/Center | 13880 Braddock Rd Ste 105, Centreville, VA 20121-2460 | 2017-12-21 |
| 1598910317 | Ace Care, LLC | Clinic/Center | 900 S Washington St Ste 303, Falls Church, VA 22046-4034 | 2008-11-20 |
| 1669656971 | Painrehab | Clinic/Center | 2823 Duke St, Alexandria, VA 22314-4512 | 2007-12-21 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1023640349 | Ultimate Clinic LLC | Clinic/Center | 1437 Sams Dr Ste 122, Chesapeake, VA 23320-4587 | 2020-02-05 |
| 1588112395 | Laura Elizabeth Dorsett | Clinic/Center | 6829 Elm St Ste 300, Mc Lean, VA 22101-3845 | 2016-09-21 |
| 1518317965 | Tyson's Pain Center, P.C. | Clinic/Center | 8133 Leesburg Pike, Suite 305, Vienna, VA 22182-2751 | 2016-06-16 |
| 1679985816 | Potomac Pain and Wellness Center Inc | Clinic/Center | 7535 Little River Tpke, Suite 100c, Annandale, VA 22003-2937 | 2014-05-22 |
| 1801139308 | Healing Hands of Virgionia | Clinic/Center | 7025 Old Jahnke Rd, Richmond, VA 23225-4126 | 2013-04-03 |
| 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.