DR. SIMON FISHMAN (NPI# 1578654968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578654968 |
| Entity Type | Individual |
| Full Name | DR. SIMON FISHMAN |
| Credential | M.D. |
| Practice Address |
6355 Walker Lane 313 Alexandria VA 22310 |
| Practice Telephone | 7033139111 |
| Practice Fax Number | 7033134945 |
| Mailing Telephone | 7033139111 |
| Mailing Fax Number | 7033134945 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101225797 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010045479 | 05 | |
| VA | ANTHEM | 102355 | 01 |
| VA | NCPPO | 518960 | 01 |
| DC | CF BC BS DC | J330 0001 | 01 |
| VA | AETNA HMO | 3403215 | 01 |
| VA | AETNA PPO | 7099103 | 01 |
| VA | ALLIANCE/ MAMSI | 2119441 | 01 |
| VA | RAILROAD MEDICARE | P00148017 | 01 |
| VA | AMERIGROUP | 267731 | 01 |
| Street Address |
6355 WALKER LANE 313 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457316101 | Samantha W Ahdoot | Pediatrics | 6355 Walker Lane, Suite 401, Alexandria, VA 22310 | 2006-04-18 |
| 1083178099 | Mimi Hoang Phan | Nurse Practitioner | 6355 Walker Lane, 505, Alexandria, VA 22310-3251 | 2019-01-23 |
| 1265981716 | Alexandra Bingnear | Nurse Practitioner | 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 | 2016-09-26 |
| 1609253236 | National Rehabilitation Hospital, Inc. | Occupational Therapist | 6355 Walker Lane, Suite 512, Alexandria, VA 22310 | 2015-05-04 |
| 1720497068 | Rebecca Rebholz | Physical Therapist | 6355 Walker Lane, Suite 512, Alexandria, VA 22310 | 2014-08-12 |
| 1730592932 | Jesse Kimball | Physician Assistant | 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 | 2014-06-04 |
| 1275974297 | Virginia Center for Plastic Surgery | Specialist | 6355 Walker Lane, Suite 510, Alexandria, VA 22310 | 2013-07-08 |
| 1750630075 | Samantha Hope Fierro | Clinic/Center | 6355 Walker Lane, Suite 404, Alexandria, VA 22310 | 2012-08-31 |
| 1992016182 | Heather Clark Drayton | Occupational Therapist | 6355 Walker Lane, Alexandria, VA 22304-3245 | 2010-06-23 |
| 1750524898 | Eva Umoh Asomugha | Orthopaedic Surgery | 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 | 2009-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389732 | Katarzyna Piwek | Behavior Technician | 6281 Franconia Road, Suite B, Alexandria, VA 22310 | 2019-08-01 |
| 1073011672 | Roberto Arturo Hernandez Zapata | Dentist | Avenida Paseo De Los Heroes 9333-4, Tijuana, BAJA CALIFORNIA 22310 | 2018-01-29 |
| 1336542042 | Franconia Pediatrics Associates | Clinic/Center | 6078 Franconia Road Ste A/b, Alexandria, VA 22310 | 2014-10-08 |
| 1548663347 | Eric Mestas Dds PC | Clinic/Center | 5115 Franconia Rd Ste -d, Alexandria, VA 22310 | 2014-10-07 |
| 1982036331 | Meike Nadine Marshall | Physical Therapist | 6355 Walker Ln Ste 404, Alexandria, VA 22310 | 2013-08-07 |
| 1649448093 | Manchester Lakes Medical | Internal Medicine | 7015 E Manchester Blvd, Alexandria, VA 22310 | 2008-02-19 |
| 1629250311 | Kingstowne Dental Care PC | Dentist | 7015 A Macnhester Blvd, Alexandria, VA 22310 | 2007-12-04 |
| 1881890648 | Neal Kevin Maru | Psychiatry & Neurology | 6355 Walker Lane, 313, Alexandria, VA 22310 | 2007-06-26 |
| 1518188259 | Hospital Mexico | General Acute Care Hospital | Avenida De La Amistad 9077, Colonia Federal, Tijuana, BAJA CALIFORNIA 22310 | 2007-05-01 |
| 1114078185 | Melissa Jean Arnold | Counselor | 6015 Bushhill Dr, Alexandria, VA 22310 | 2007-01-16 |
| Find all providers in zip 22310 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1063997724 | Women's Health Clinic, Inc | Specialist | 5999 Stevenson Ave Ste 403, Alexandria, VA 22304-3302 | 2018-09-28 |
| 1013458413 | Rebecca Walton | Specialist | 5936 Bangor Dr, Alexandria, VA 22303-2202 | 2017-03-17 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1861866410 | Lea Hawkins-fisher | Specialist | 1024 3rd St, Suite 203, Alexandria, LA 71301-8343 | 2015-11-19 |
| 1639581408 | Denise Lee | Specialist | 6824 Deer Run Dr, Alexandria, VA 22306-1123 | 2014-05-28 |
| 1144645912 | Iris Jones | Specialist | 3654 Government St, Suite 7, Alexandria, LA 71302-3324 | 2014-03-03 |
| 1164705539 | Madeline Carmen Hernandez | Specialist | 5838 Brookview Dr, Alexandria, VA 22310-1817 | 2011-09-22 |
| 1134434046 | Gynecare Associates | Specialist | 2807 Duke St, Alexandria, VA 22314-4512 | 2010-08-16 |
| 1962737080 | Ariel O Antezana | Specialist | 3311 Prescott Rd Ste 216, Alexandria, LA 71301-3983 | 2009-10-07 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22310 |
Please comment or provide details below to improve the information on DR. SIMON FISHMAN.
| 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.