FEDERICO CARLOS GONZALES (NPI# 1588767941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588767941 |
| Entity Type | Individual |
| Full Name | FEDERICO CARLOS GONZALES |
| Credential | MD |
| Practice Address |
3700 Joseph Siewick Drive Suite #402 Fairfax VA 22033-1745 |
| Practice Telephone | 7037159700 |
| Practice Fax Number | 7037165410 |
| Mailing Telephone | 7037159700 |
| Mailing Fax Number | 7037165410 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101028651 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6082165 | 05 | |
| VA | ANTHEM BCBS | 064914 | 01 |
| AETNA HMO | 0924713 | 01 | |
| AETNA PPO | 4085116 | 01 |
| Street Address |
3700 JOSEPH SIEWICK DRIVE SUITE #402 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942256672 | Richard Kenneth Sall | Internal Medicine | 3700 Joseph Siewick Drive, Ste 209, Fairfax, VA 22033 | 2006-05-25 |
| 1760729636 | Laboratory Corporation of America | Clinical Medical Laboratory | 3700 Joseph Siewick Drive, Suite 201, Fairfax, VA 22033-1738 | 2013-01-11 |
| 1114229267 | Rubina Ahmad | Dentist | 3700 Joseph Siewick Drive, Suite 104, Fairfax, VA 22033-1737 | 2010-11-23 |
| 1215091541 | Shohreh Sharif Dds PC | Dentist | 3700 Joseph Siewick Drive, Fairfax, VA 22033 | 2006-12-21 |
| 1811095367 | Judith Helene Ratliff | Social Worker | 3700 Joseph Siewick Drive, Suite 402, Fairfax, VA 22033 | 2006-09-20 |
| 1316045644 | Michael David Greene | Internal Medicine | 3700 Joseph Siewick Drive, Suite 203, Fairfax, VA 22033-1738 | 2006-09-20 |
| 1265489868 | Henry Hyung Back Rhee | Internal Medicine | 3700 Joseph Siewick Drive, Suite 209, Fairfax, VA 22033 | 2006-05-28 |
| 1619924347 | Marsha Diane Soni | Internal Medicine | 3700 Joseph Siewick Drive, Ste 209, Fairfax, VA 22033 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737248 | Alpa Patel Md Pllc | Internal Medicine | 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 | 2020-10-12 |
| 1295223931 | Maturi Medical Group LLC | Internal Medicine | 2751 Prosperity Ave Ste 440, Fairfax, VA 22031-4397 | 2018-04-27 |
| 1447518519 | Kevin A Draper | Internal Medicine | 4702 Sandra Ln, Fairfax, VA 22030-5409 | 2012-04-26 |
| 1184945982 | Angela Pennisi | Internal Medicine | 8081 Innovation Park Dr Fl 3, Fairfax, VA 22031-4867 | 2010-06-15 |
| 1326273228 | Medical Clinics of West Virginia Pllc | Internal Medicine | 2826 Old Lee Hwy, Ste 250, Carelife Medical, Fairfax, VA 22031-4348 | 2009-05-20 |
| 1215179254 | Robert Douglas Janke | Internal Medicine | 8221 Willow Oaks Corporate Dr # 4-420, Fairfax, VA 22031-4512 | 2009-04-06 |
| 1932341849 | Henry Dearborn Ziegler | Internal Medicine | 4300 Thomas Brigade Ln, Fairfax, VA 22033-4273 | 2009-03-25 |
| 1073791513 | Benson W. Yu M.d. Pllc | Internal Medicine | 3601 Chain Bridge Rd Ste D, Fairfax, VA 22030-3243 | 2008-02-06 |
| 1255534301 | Lishan Kassa | Internal Medicine | 10520 Judicial Drive, Medical Section, Fairfax, VA 22030 | 2007-06-07 |
| 1770636508 | Chin Oh Kim | Internal Medicine | 3930 Pender Dr Ste 320, Fairfax, VA 22030-0986 | 2007-01-18 |
| Find all providers in FAIRFAX | ||||
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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.