MY FAMILY DOCTOR (NPI# 1659405843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659405843 |
| Entity Type | Organization |
| Organization Name | MY FAMILY DOCTOR |
| Practice Address |
722 Grant St Suite A Herndon VA 20170 |
| Practice Telephone | 7035737200 |
| Practice Fax Number | 7035470724 |
| Mailing Telephone | 7035737200 |
| Mailing Fax Number | 7035470724 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | AMANDA E HILL (ADMINISTRATOR) |
| Authorized Official Telephone | 7035737200 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101056112 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881712297 | My Family Doctor | Family Medicine | Route 209, Weir Lake Rd, Brodheadsville, PA 18322 | 2007-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MY FAMILY DOCTOR, LLC | 3623 Sw Alaska, Seattle, WA 98126 |
| Street Address |
722 GRANT ST SUITE A |
| City | HERNDON |
| State | VA |
| Zip Code | 20170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558393116 | Advanced Pt and Rehab | Physical Therapist | 722 Grant St, Herndon, VA 20170-4532 | 2006-07-06 |
| 1316012446 | Diabetic Supplies Mid-atlantic | Durable Medical Equipment & Medical Supplies | 722 Grant St, Suite L, Herndon, VA 20170-4532 | 2006-11-22 |
| 1710051859 | Saleh M Zaghal | Durable Medical Equipment & Medical Supplies | 722 Grant St, Suite L, Herndon, VA 20170-4532 | 2006-11-20 |
| 1386716512 | Shabih Hasan Md PC | Specialist | 722 Grant St, Ste. F, Herndon, VA 20170-4532 | 2006-11-14 |
| 1205908761 | Shabih U Hasan | Specialist | 722 Grant St, Suite F, Herndon, VA 20170-4532 | 2006-11-13 |
| 1689765760 | Tajammul Ehsan Md PC | Psychiatry & Neurology | 722 Grant St, Ste. F, Herndon, VA 20170-4532 | 2006-09-27 |
| 1760583397 | Tajammul Ehsan | Psychiatry & Neurology | 722 Grant St, Ste. F, Herndon, VA 20170-4532 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391506 | Ashley Powell | Counselor | 435a Carlisle Dr Ste 103, Herndon, VA 20170 | 2019-05-13 |
| 1841781176 | Virginia Medical Transport, LLC. | Ambulance | 360 Herndon Pkwy Ste 700, Herndon, VA 20170 | 2018-05-22 |
| 1508378332 | Warm Touch Home Care LLC | In Home Supportive Care | 492 Alabama Dr, Herndon, VA 20170 | 2017-11-02 |
| 1154847853 | Elhady Dental Pllc | Dentist | 131 Elden St #130, Herndon, VA 20170 | 2017-08-15 |
| 1841736956 | Julian Badawy | Social Worker | 425 Carlisle Drive, Herndon, VA 20170 | 2017-01-12 |
| 1942742861 | Dr. Mojdeh Vessali Family Dentistry | Dentist | 505 Huntmar Park Drive, #150, Herndon, VA 20170 | 2016-11-09 |
| 1043614308 | Scott Taylor Young | Chiropractor | 905 Herndon Parkway, Suite B, Herndon, VA 20170 | 2014-10-15 |
| 1942614706 | Desiree Debutts Farren | Counselor | 425-b Carlisle Drive, Herndon, VA 20170 | 2014-06-19 |
| 1003229006 | Angels Home Health Care LLC | Home Health | 626 Grant Street, Suite # K, Herndon, VA 20170 | 2014-06-06 |
| 1457608986 | Dental Center of Herndon | Dentist | 1110 Elden St., Suite E108, Herndon, VA 20170 | 2012-08-15 |
| Find all providers in zip 20170 | ||||
| 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 |
|---|---|---|---|---|
| 1720322357 | Laurie D Heap | Specialist | 13608 Farmbell Ct, Herndon, VA 20171-3329 | 2012-11-20 |
| 1558426429 | Ileana Sanchez Vanquez | Specialist | 481 Carlisle Dr # A, Herndon, VA 20170-4882 | 2006-12-22 |
| 1558424135 | Leslie A. Anderson | Specialist | 451a Carlisle Dr, Herndon, VA 20170-4819 | 2006-12-18 |
| 1174600290 | Augustus H Hill | Specialist | 722 Grant St Ste A, Herndon, VA 20170-4533 | 2006-11-01 |
| 1972688489 | Kimberly Lindsay | Specialist | 516 Herndon Pkwy, Suite D, Herndon, VA 20170-5225 | 2006-10-25 |
| 1922058668 | Children's Heart Institute | Specialist | 171 Elden Street, Ste. 2c4, Herndon, VA 20170 | 2006-05-11 |
| 1780681429 | Leah Haskvitz | Specialist | 13350 Franklin Farm Rd, Ste 100, Herndon, VA 20171-4091 | 2005-07-07 |
| 1700217684 | Children's Multispecialty Clinic, Plc | Specialist | 171 Elden Street, Ste. 2c4, Herndon, VA 20170 | 2013-12-03 |
| 1730413881 | O&h Surgical Pllc | Specialist | 462 Herndon Pkwy, Ste 101, Herndon, VA 20170-5233 | 2009-09-22 |
| 1659558518 | Fairfax Radiological Consultants PC | Specialist | 106 Elden St, Ste 16, Herndon, VA 20170-4872 | 2008-01-23 |
| Find all providers in HERNDON | ||||
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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.