ADVANCED DIGESTIVE CARE, LLC


Address: 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192
Phone: 7035800181

ADVANCED DIGESTIVE CARE, LLC (NPI# 1629462171) 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) 1629462171
Entity Type Organization
Organization Name ADVANCED DIGESTIVE CARE, LLC
Practice Address 14010 Smoketown Rd
Suite 117
Woodbridge
VA 22192
Mailing Address 14010 Smoketown Rd
Suite 117
Woodbridge
VA 22192-4722
Practice Telephone 7035800181
Practice Fax Number 7038978763
Mailing Telephone 7035800181
Mailing Fax Number 7038978763
Enumeration Date 2015-03-23
Last Update Date 2018-07-18
Authorized Official Name KENNETH N JOSOVITZ (ADMINISTRATOR)
Authorized Official Telephone 7035800181
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
Y 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 14010 SMOKETOWN RD
SUITE 117
City WOODBRIDGE
State VA
Zip Code 22192

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922094580 Kenneth Neil Josovitz Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 2005-09-20
1639686009 Mahnoor Moin Physician Assistant 14010 Smoketown Rd, Woodbridge, VA 22192-4722 2018-01-05
1922548130 Nitiksha Patel Physician Assistant 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2017-03-07
1548657117 Tina Polley Nurse Practitioner 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2015-04-22
1982097770 Associates In Gastroenterology, PC Nurse Practitioner 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2015-03-18
1679881486 Carlyle Fairfax Hooff Casella Physician Assistant 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2010-09-15
1609019520 Ali Farhad Kazemi Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2009-04-07
1346403920 Anisha Thadani Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2008-07-03
1326205113 Benjamin Edward Young II Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 2008-05-20
1457546236 Arunan Vamadevan Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2007-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245873645 Ursula Jackson Technician 3500 Commission Ct, Woodbridge, VA 22192 2019-10-18
1205480779 Ki Soo Park Physical Therapy Assistant 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 2019-08-01
1801448329 Karen Lee Trivett Specialist/Technologist, Other 12584 Darby Brook Court, Woodbridge, VA 22192 2019-07-15
1407313166 Nichele Amelia Thompson Behavioral Analyst 2731 Marblestone Dr, 101, Woodbridge, VA 22192 2019-02-28
1952877870 Kimberly Ann Rojas Vazquez Behavioral Analyst 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 2018-10-18
1104391614 Ykim Dental Dentist 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 2018-10-11
1013418755 Arm Transport Non-emergency Medical Transport (VAN) 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 2018-02-27
1811496813 Francesca Nasi Behavioral Analyst 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 2018-02-05
1942729504 Bismark Transportation Service LLC Non-emergency Medical Transport (VAN) 12341 Woodlawn Court, Woodbridge, VA 22192 2017-09-14
1992226344 Arm Baby Eldery Home Health LLC Home Health 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 2017-07-06
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Taxonomy Information

Taxonomy Code 207ZP0105X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Clinical Pathology/Laboratory Medicine

Taxonomy Definition

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; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437710415 Stagezero Life Sciences Inc Pathology 8751 Park Central Dr Ste 200, Richmond, VA 23227-1162 2019-06-21
1003251141 Foot and Ankle Clinic of The Virginias Inc Pathology 2036 Leatherwood Ln, Bluefield, VA 24605-2020 2013-05-02
1851303317 Lou Ann Young Maes Pathology 611 W Brambleton Ave, Norfolk, VA 23510-1004 2006-08-13
1306866264 Pamela Clark Pathology Uva Old Medical School, Hospital Drive, Charlottesville, VA 22908-0001 2006-07-20
1407176969 Junqi Qian Pathology 9101 Stony Point Dr, Richmond, VA 23235 2010-06-08
1275709123 Clinical Pathology Associates of Fredericksburg LLC Pathology 1001 Sam Perry Boulevard, Fredericksburg, VA 22401 2008-05-01
1710198197 Marie Christine Do Pathology 1250 E Marshall St, Pathology, Richmond, VA 23298-5051 2007-05-25
1205059359 Mary Teresa Padilla Pathology 9105 Stony Point Pkwy, Richmond, VA 23235-1979 2007-04-10
1215907399 Elvira Tomescu Pathology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2006-01-23
1619954351 James Allen Henry Pathology 1802 Braeburn Dr, Salem, VA 24153-7357 2005-12-23
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Competitor

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City WOODBRIDGE
Zip Code 22192

Improve Information

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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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