INOVA HEALTH CARE SERVICES (NPI# 1669511051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669511051 |
Entity Type | Organization |
Organization Name | INOVA HEALTH CARE SERVICES |
Other Organization Name | INOVA JUNIPER PROGRAM |
Practice Address |
2740 Prosperity Ave Ste 200 Fairfax VA 22031-4354 |
Practice Telephone | 7033212600 |
Practice Fax Number | 7033212603 |
Mailing Telephone | 7033212600 |
Mailing Fax Number | 7033212603 |
Enumeration Date | 2007-02-05 |
Last Update Date | 2018-10-16 |
Authorized Official Name | STACY L MILES (BUSINESS MANAGER) |
Authorized Official Telephone | 7033212502 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0904007138 | VA | Ambulatory Health Care Facilities |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
904003766 | VA | Ambulatory Health Care Facilities |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
904006670 | VA | Ambulatory Health Care Facilities |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
904006648 | VA | Ambulatory Health Care Facilities |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
904005277 | VA | Ambulatory Health Care Facilities |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
904005185 | VA | Ambulatory Health Care Facilities |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
904006926 | VA | Ambulatory Health Care Facilities |
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
0110002560 | VA | Ambulatory Health Care Facilities |
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
110001575 | VA | Ambulatory Health Care Facilities |
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
24165284 | VA | Ambulatory Health Care Facilities |
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
24168406 | VA | Ambulatory Health Care Facilities |
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
H1921 | VA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Inova Juniper Program | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528347341 | Inova Health Care Services | Clinic/Center | 8100 Innovation Park Dr Ste 100, Fairfax, VA 22031-4870 | 2011-08-10 |
1619526720 | Inova Health Care Services | Clinic/Center | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2019-09-11 |
1275097123 | Inova Health Care Services | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2019-01-24 |
1851829550 | Inova Health Care Services | Radiology | 11335 Pembrooke Sq Ste 101, Waldorf, MD 20603 | 2017-05-25 |
1417312422 | Inova Health Care Services | Clinical Medical Laboratory | 3300 Gallows Rd, Claude Moore Building, 2nd Floor, Falls Church, VA 22042-3307 | 2015-12-17 |
1174908313 | Inova Health Care Services | Assisted Living Facility | 1778 Fountain Dr, Reston, VA 20190-3390 | 2015-07-29 |
1881018489 | Inova Health Care Services | Pharmacy | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2014-02-18 |
1447687165 | Inova Health Care Services | Dietitian, Registered | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2013-09-27 |
1841632593 | Inova Health Care Services | Pharmacy | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2013-07-23 |
1437596855 | Inova Health Care Services | Clinical Medical Laboratory | 2832 Juniper St, Fairfax, VA 22031-4402 | 2013-05-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | INOVA HEALTH CARE SERVICES | 8110 Gatehouse Rd Ste 200, Falls Church, Virginia 22042 |
Street Address |
2740 PROSPERITY AVE STE 200 |
City | FAIRFAX |
State | VA |
Zip Code | 22031-4354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801845284 | Yasser Hadj Ousman | Internal Medicine | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2006-05-10 |
1801449657 | Katherine Kline | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2019-07-22 |
1801383617 | James Wadell Brunson Jr. | Counselor | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2018-04-17 |
1336642180 | Nina Mesadieu | Nurse Practitioner | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2018-03-16 |
1871004952 | Jekaterina Tolstenko | Nurse Practitioner | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2017-10-17 |
1306222120 | Emily Viall | Registered Nurse | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2015-08-04 |
1255738076 | Prosperity Rx Fairfax Inc | Pharmacy | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-11-21 |
1366844185 | Sarah Kelly | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-09-24 |
1164733879 | Sarah Penland | Social Worker | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2010-06-28 |
1184954539 | Laura Leigh Wolok | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2010-01-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
Find all providers in zip 22031 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639793458 | Virtual Therapy Partners | Clinic/Center | 11536 Leehigh Dr, Fairfax, VA 22030-5639 | 2020-06-08 |
1174558266 | Director of Finance-county of Fairfax Va | Clinic/Center | 12011 Government Center Pkwy, Suite 836, Fairfax, VA 22035-1100 | 2006-07-11 |
1154356244 | Fairfax County, Virginia | Clinic/Center | 12011 Government Center Parkway, Suite 836, Fairfax, VA 22035 | 2006-07-11 |
1952334450 | Director of Finance-county of Fairfax Va | Clinic/Center | 3750 Old Lee Hwy, Fairfax, VA 22030-1806 | 2006-07-08 |
1750521779 | Creative Health Solutions LLC | Clinic/Center | 3900 Jermantown Rd Ste 250, Fairfax, VA 22030-4946 | 2009-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326653585 | Restore Health of Va LLC | Clinic/Center | 44121 Harry Byrd Hwy Ste 120, Ashburn, VA 20147-5668 | 2020-09-14 |
1760091185 | John Cary Md PC | Clinic/Center | 8571 Sudley Rd Ste A, Manassas, VA 20110-3862 | 2020-07-31 |
1932721693 | Stardust Applications, LLC | Clinic/Center | 1860 Kempsville Crossing Ln, Virginia Beach, VA 23464-6935 | 2020-05-15 |
1639705387 | Coastal Regenex Ltd | Clinic/Center | 1013 Eden Way N Ste B, Chesapeake, VA 23320-2792 | 2020-03-13 |
1902437841 | Speech & Occupational Therapy Specialists | Clinic/Center | 625 Piney Forest Rd Ste 403, Danville, VA 24540-2870 | 2020-01-29 |
1073143228 | Brain and Body Regenerative Medicine | Clinic/Center | 3051 Valley Ave Ste 108, Winchester, VA 22601-2658 | 2020-01-16 |
1841754272 | Essential Piece Life Enrichment Services | Clinic/Center | 12 Salters Creek Rd Ste 200, Hampton, VA 23661-2453 | 2019-01-30 |
1588130744 | Insight Recovery Centers | Clinic/Center | 44340 Premier Plz Ste 230, Ashburn, VA 20147-5074 | 2018-10-15 |
1306320130 | Quickcare Health Inc | Clinic/Center | 1013 University Blvd Ste 270-280, Suffolk, VA 23435-0048 | 2018-09-18 |
1891273967 | For Most Health Care, Inc. | Clinic/Center | 3018 Edgewood Ave, Richmond, VA 23222-2504 | 2018-08-01 |
Find all providers with the same taxonomy |
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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.