MICHAEL J PORVAZNIK


Address: 4910 31st St S, Suite A, Arlington, VA 22206-1656
Phone: 7039317173

MICHAEL J PORVAZNIK (NPI# 1588782213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588782213
Entity Type Individual
Full Name MICHAEL J PORVAZNIK
Credential D.O.
Practice Address 4910 31st St S
Suite A
Arlington
VA 22206-1656
Mailing Address 4910 A South 31 Street
Arlington
VA 22206
Practice Telephone 7039317173
Practice Fax Number 7039310895
Mailing Telephone 7039317173
Mailing Fax Number 7039310895
Enumeration Date 2007-03-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204D00000X Neuromusculoskeletal Medicine & OMM 0102037022 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA VIRGINIA LICENSE # 0102037022 01

Other Providers MICHAEL PORVAZNIK

NPI Name Taxonomy Address Enumeration
1689679482 Michael E Porvaznik Family Medicine 9200 E State Road 45, Unionville, IN 47468-9628 2005-06-17

Office Location

Street Address 4910 31ST ST S
SUITE A
City ARLINGTON
State VA
Zip Code 22206-1656

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NPI Name Taxonomy Address Enumeration
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1861912784 Bonnie Schultz Social Worker 4537a 28th Rd S., Arlington, VA 22206 2017-06-21
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1659784304 Christine Brown Wright Audiologist 4714 30th Street South, Arlington, VA 22206 2014-06-10
1538583653 Fernellas Quality Care Nutritionist 2300 24th Road South #624, Arlington, VA 22206 2014-02-10
1851637532 Umera Abdullah Thebo Internal Medicine 2270 S Garfield Street, Unit #4, Arlington, VA 22206 2012-12-27
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Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition]
- Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447561691 Neuropathy Pain Clinic of Fort Worth LLC Neuromusculoskeletal Medicine & OMM 919 W Randol Mill Rd, Arlington, TX 76012-2511 2010-06-23
1952525412 James H Gronemeyer Neuromusculoskeletal Medicine & OMM 290 Massachusetts Ave, Arlington, MA 02474-8305 2007-04-13
1841366465 Mark Allan Dirnberger Neuromusculoskeletal Medicine & OMM 2001 Se Green Oaks Blvd., Suite #130, Arlington, TX 76018-0952 2006-11-27
1265476022 Sheila Jahan Neuromusculoskeletal Medicine & OMM 1881 N Nash St Unit 309, Arlington, VA 22209 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356860829 Neurology Neuromusculoskeletal Medicine & OMM 701 W Broad St Ste 214, Falls Church, VA 22046 2017-09-15
1013303486 Mukarram Razvi Neuromusculoskeletal Medicine & OMM 1999 S Main St Ste 505j, Blacksburg, VA 24060-6601 2015-04-12
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1710133228 Jason A. Sneed Neuromusculoskeletal Medicine & OMM 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 2008-08-15
1245498062 Joshua Heath Dalton Neuromusculoskeletal Medicine & OMM 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 2008-05-29
1376750646 Nancy Laura Liles Neuromusculoskeletal Medicine & OMM 7455 Mcconnell Rd, Roanoke, VA 24019-3241 2007-05-17
1033232269 Alina H Tobey Neuromusculoskeletal Medicine & OMM 1691 Innovation Dr Ste 2100, Blacksburg, VA 24060-6828 2007-04-10
1396873774 Janine Marie Talty Neuromusculoskeletal Medicine & OMM 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 2007-02-28
1427106624 Kevin Andrew Hicks Neuromusculoskeletal Medicine & OMM 300a Temple Lake Dr, Suite 1, Colonial Heights, VA 23834-2972 2007-01-06
1043385370 Harold Kornylak Neuromusculoskeletal Medicine & OMM 1432 E Bay Shore Dr, Virginia Beach, VA 23451-3760 2006-11-21
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Competitor

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City ARLINGTON
Zip Code 22206

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Dataset Information

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.

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