CHS VIRGINIA MEDICAL P C (NPI# 1417476466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417476466 |
| Entity Type | Organization |
| Organization Name | CHS VIRGINIA MEDICAL P C |
| Other Organization Name | THE WELLNESS CENTER OPERATED BY PREMISE HEALTH |
| Practice Address |
9500 Godwin Dr Bldg 400 Manassas VA 20110-4166 |
| Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
| Practice Telephone | 7033673950 |
| Practice Fax Number | 7033672181 |
| Mailing Telephone | 8444077557 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Wellness Center Operated by Premise Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1164055216 | Chs Virginia Medical P C | Clinic/Center | 141 Security Dr Bldg 1, Winchester, VA 22602-4672 | 2020-02-18 |
| 1568901718 | Chs Virginia Medical P C | Clinic/Center | 1421 Kristina Way, Chesapeake, VA 23320-8917 | 2017-02-21 |
| 1356880595 | Chs Virginia Medical P C | Clinic/Center | 12730 N Kingston Ave, Chester, VA 23836-2700 | 2017-02-21 |
| 1053748905 | Chs Virginia Medical P C | Clinic/Center | 190 Security Dr, Winchester, VA 22602-4672 | 2013-10-08 |
| 1750633137 | Chs Virginia Medical P C | General Practice | 1001 Semmes Ave, First Floor, Richmond, VA 23224-2245 | 2012-10-09 |
| 1417227083 | Chs Virginia Medical P C | Clinic/Center | 22980 Indian Creek Dr Ste 300, Sterling, VA 20166 | 2012-01-12 |
| 1184903296 | Chs Virginia Medical P C | Clinic/Center | 4881 Cox Rd Bldg 1, Glen Allen, VA 23060-6293 | 2011-08-06 |
| 1104300078 | Chs Virginia Medical P C | Clinic/Center | 1301 N Main St, Blacksburg, VA 24060-3129 | 2018-09-18 |
| 1629559463 | Chs Virginia Medical P C | Clinic/Center | 8200 Jones Branch Dr, Mc Lean, VA 22102-3107 | 2018-08-28 |
| Street Address |
9500 GODWIN DR BLDG 400 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548361025 | Child Health Care of Manassas, Inc. | Clinic/Center | 9394 Forestwood Ln, Manassas, VA 20110-4702 | 2006-09-26 |
| 1184027161 | Old Town Manassas Medical Center | Clinic/Center | 9003 Church St, Manassas, VA 20110-5410 | 2014-10-03 |
| 1720480429 | Labbaf Neurology LLC | Clinic/Center | 9303 Center St Ste 200, Manassas, VA 20110-1801 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635972 | Richmond Traveler Taxi | Clinic/Center | 9808 Woodman Rd, Henrico, VA 23228-1339 | 2020-10-06 |
| 1265046700 | Guan Yuan Pllc | Clinic/Center | 7008 Catlett St, Springfield, VA 22151-3901 | 2020-09-02 |
| 1831711902 | Charlottesville Hyperbarics Corp | Clinic/Center | 925-a E Jefferson St, Charlottesville, VA 22902-5573 | 2020-05-12 |
| 1417579889 | Health Bridge, LLC | Clinic/Center | 4198 Cox Rd Ste 102, Glen Allen, VA 23060-3328 | 2020-05-08 |
| 1851924088 | First Light Clinic LLC | Clinic/Center | 706 Campbell Ave Sw, Roanoke, VA 24016-3534 | 2020-02-17 |
| 1912537440 | B's Integrated Clinic, Pllc | Clinic/Center | 501 Rison St Ste 100, Danville, VA 24541-2426 | 2020-01-23 |
| 1770122723 | Colonial Beach Health & Wellness Inc | Clinic/Center | 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 | 2019-12-21 |
| 1104461896 | Lung Specialists of Tidewater Pllc | Clinic/Center | 224 Avonlea Pointe, Chesapeake, VA 23322-4279 | 2019-11-17 |
| 1053952846 | Mediluxe | Clinic/Center | 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 | 2019-10-02 |
| 1720639503 | Javan Wellness Ballston LLC | Clinic/Center | 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 | 2019-09-24 |
| 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.