DR. LUCAS KIDD GWYNN (NPI# 1588681274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588681274 |
| Entity Type | Individual |
| Full Name | DR. LUCAS KIDD GWYNN |
| Credential | MD |
| Practice Address |
6408 Seven Corners Pl Suite J Falls Church VA 22044-2034 |
| Mailing Address |
6408 Seven Corners Pl Suite J Falls Church VA 22044-2011 |
| Practice Telephone | 7035311030 |
| Practice Fax Number | 7035311031 |
| Mailing Telephone | 7035311030 |
| Mailing Fax Number | 7035311031 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | 0101223967 | VA | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 0101223967 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 146092 | 01 |
| VA | AMERIGROUP | 279883 | 01 |
| Street Address |
6408 SEVEN CORNERS PL SUITE J |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22044-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497715528 | Tam Thu Tran | Specialist | 6408 Seven Corners Pl, Suite M, Falls Church, VA 22044-2011 | 2006-03-24 |
| 1295179182 | Ton Q. Ho | Podiatrist | 6408 Seven Corners Pl, Suite C, Falls Church, VA 22044-2011 | 2013-04-22 |
| 1437435732 | Best Care Physical Therapy, P.C. | Physical Therapist | 6408 Seven Corners Pl, Set G, Falls Church, VA 22044-2011 | 2011-10-31 |
| 1922321348 | Jeff J. S. Pan, Md, PC | Urology | 6408 Seven Corners Pl, Ste L, Falls Church, VA 22044-2011 | 2010-03-12 |
| 1710134978 | Tepy V Kong | Dentist | 6408 Seven Corners Pl, Suite H, Falls Church, VA 22044-2011 | 2008-08-19 |
| 1346404449 | Saory Kong | Dentist | 6408 Seven Corners Pl, Suite H, Falls Church, VA 22044-2011 | 2008-07-17 |
| 1245406636 | Viet Huu Nguyen | Internal Medicine | 6408 Seven Corners Pl, Suite C, Falls Church, VA 22044-2011 | 2008-05-05 |
| 1437261138 | Jeff Jen Shiang Pan | Urology | 6408 Seven Corners Pl, Suite L, Falls Church, VA 22044-2011 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095145 | Jordana Bree Righter | Social Worker | 6400 R Seven Corners Place, Falls Church, VA 22044 | 2020-08-26 |
| 1912521840 | Minhthu Tran | Nurse Practitioner | 2946 Sleepy Hollow Rd Office # G Basement, Falls Church, VA 22044 | 2020-06-06 |
| 1407353378 | Rafael Alcaraz | Dentist | Gobernador Lugo #9815 - 314, Tijuana, BAJA CALIFORNIA 22044 | 2018-04-09 |
| 1043745623 | Cristobal Portugal | Dentist | Gobernador Lugo 9531, Ste 4, Tijuana, BAJA CALIFORNIA 22044 | 2017-04-20 |
| 1437684016 | Miriam J Martinez | Dentist | Gobernador Ibarra 9651, Ste 10, Tijuana, BAJA CALIFORNIA 22044 | 2017-04-20 |
| 1568827830 | Jose Manuel Montero Martinez | Dentist | Ermita Sur 225-6, Fracc. Leos, Tijuana, BAJA CALIFORNIA 22044 | 2015-12-30 |
| 1114317286 | John David Spargo | Nurse Practitioner | 6288 Arlington Blvd, Falls Church, VA 22044 | 2015-01-28 |
| 1790182160 | Care Gsl Richmond Opco LLC | Assisted Living Facility | 6312 Seven Corners Center #161, Falls Church, VA 22044 | 2014-12-01 |
| 1629491477 | Amy Hsu | Speech-Language Pathologist | 6231 Leesburg Pike Ste520, Falls Church, VA 22044 | 2014-01-30 |
| 1306282470 | Thi Ngoc Nguyen | Chiropractor | 6400 Seven Corners Pl., Suite H, Falls Church, VA 22044 | 2013-05-16 |
| Find all providers in zip 22044 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487675252 | Khoa Quoc Nguyen | Dermatology | 821 W Broad St, Falls Church, VA 22046-3107 | 2006-07-21 |
| 1043201577 | Herbert S Golomb | Dermatology | Falls Church Medical Center, 6060 Arlington Boulevard, Falls Church, VA 22044-2993 | 2005-11-03 |
| 1861659799 | Jennifer Alston Desimone | Dermatology | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2008-05-19 |
| 1801913561 | Mark Naftanel | Dermatology | 201 N Washington St, Falls Church, VA 22046-4518 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428709 | Clinical Dermatology Center, LLC | Dermatology | 14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108 | 2020-05-14 |
| 1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1194383372 | Clarity Acne and Aesthetics LLC | Dermatology | 3345 Bridge Rd Ste 900, Suffolk, VA 23435-1848 | 2019-06-03 |
| 1356821235 | Sdm Virginia LLC | Dermatology | 4198 Cox Rd Ste 109, Glen Allen, VA 23060-3328 | 2018-08-20 |
| 1851877336 | Keri Church | Dermatology | 19455 Deerfield Ave Ste 311, Lansdowne, VA 20176-8102 | 2018-07-17 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1710479936 | Integrated Dermatology of Gloucester, LLC | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 | 2018-06-04 |
| 1477077071 | Dulles Dermatology Associates, Pllc | Dermatology | 24430 Stone Springs Blvd Ste 275, Dulles, VA 20166-2247 | 2017-07-26 |
| 1487186466 | Integrated Dermatology of Reston, LLC | Dermatology | 1886 Metro Center Dr Ste 650, Reston, VA 20190-5294 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CHURCH |
| Zip Code | 22044 |
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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.