DR. ROBERT J VAN KIRK JR. (NPI# 1427278670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427278670 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J VAN KIRK JR. |
| Credential | MD |
| Practice Address |
8700 Sudley Rd Manassas VA 20110 |
| Mailing Address |
Po Bx 221322 Chantilly VA 20153 |
| Practice Telephone | 7033698484 |
| Mailing Telephone | 7036912516 |
| Mailing Fax Number | 7036913526 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2008-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
350886613 | OH | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101242736 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1427278670 | 05 |
| Street Address |
8700 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588725 | Christopher R Heaton | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2005-06-16 |
| 1740806629 | Lyndsey Atherton Lee | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-06-17 |
| 1033731591 | Marti Abarquez | Radiologic Technologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-05-07 |
| 1235764317 | Chelsea Mara Thompson | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-03-09 |
| 1346874997 | Lauren Nichole-evans Jeske | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-02-22 |
| 1689218620 | Martha Gordon | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-11-02 |
| 1528609203 | Sheridan Childrens Healthcare Services of Virginia Inc | Audiologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-10-03 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1588122410 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-03-11 |
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| 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 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629206610 | Claudine Ann Morcos | Pathology | 8709 Professional Pl Ste B, Manassas, VA 20110 | 2009-06-29 |
| 1386629491 | Francis Mervan Gress Jr. | Pathology | 10022 Lake Occoquan Dr, Manassas, VA 20111-2645 | 2005-12-12 |
| 1992019798 | Prince William Pathology Associates, PC | Pathology | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2010-08-04 |
| 1063438091 | Fairfax Pathology Associates, Ltd. | Pathology | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2006-07-14 |
| 1417958299 | Jeffrey J Skovronsky | Pathology | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2005-08-03 |
| 1659372381 | David A Summerville | Pathology | 8700 Sudley Rd, Manassas, VA 20110 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952821308 | Patricija Zot | Pathology | 1250 E Marshall St # 980662, Richmond, VA 23298-5051 | 2017-06-26 |
| 1508248949 | Rajeswari Jayakumar | Pathology | 403 N. 13th Street, Csc, Richmond, VA 23298 | 2015-06-22 |
| 1891192209 | Pepper Path LLC | Pathology | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1629481700 | David Phillip Lebel II | Pathology | 1 Riverside Cir Ste 105, Roanoke, VA 24016-4961 | 2014-06-06 |
| 1710304761 | Sara Ali Mustafa | Pathology | 3289 Woodburn Rd Ste 220, Annandale, VA 22003-7313 | 2014-03-27 |
| 1215376959 | Angela Yu-jye Wu | Pathology | 1215 Lee Street - Box Number 800214, Charlottesville, VA 22908-0001 | 2013-06-16 |
| 1043529365 | Alden W Dudley Jr. | Pathology | 5909 Winnbrook Dr, Roanoke, VA 24018-7903 | 2010-10-04 |
| 1649582412 | Vasavi Kaliki | Pathology | 4505 Yorkminster Dr, Glen Allen, VA 23060-6157 | 2010-07-09 |
| 1063737146 | William F. Enos, M.d., Pllc | Pathology | 10300 Spotsylvania Avenue, Suite 130, Fredericksburg, VA 22408 | 2010-04-01 |
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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.