TERUAKI KODAMA, M.D., L.L.C. (NPI# 1720285893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720285893 |
| Entity Type | Organization |
| Organization Name | TERUAKI KODAMA, M.D., L.L.C. |
| Practice Address |
8316 Arlington Blvd Suite 410 Fairfax VA 22031-5207 |
| Practice Telephone | 7035736985 |
| Practice Fax Number | 7035737154 |
| Mailing Telephone | 7035736985 |
| Mailing Fax Number | 7035737154 |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | DR. TERUAKI KODAMA (PRESIDENT) |
| Authorized Official Telephone | 7035736985 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101048550 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
8316 ARLINGTON BLVD SUITE 410 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744355 | Jennifer Ann Quintanilla | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2005-07-20 |
| 1275179137 | Amelia Ellen Pitha | Nurse Practitioner | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2019-11-25 |
| 1508367517 | Eric Scarton | Physical Therapy Assistant | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2018-02-24 |
| 1073986568 | Fairfaxdentalgroup | Dentist | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2015-11-05 |
| 1093194300 | Mira Wahba | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2015-05-20 |
| 1568840957 | Alliance Rehab and Physical Therapy LLC | Physical Therapist | 8316 Arlington Blvd, #600, Fairfax, VA 22031-5207 | 2015-05-18 |
| 1861889008 | Loudoun Medical Group PC | Ophthalmology | 8316 Arlington Blvd, Suite 235, Fairfax, VA 22031-5207 | 2015-04-24 |
| 1023405297 | Bluemont Plastic Surgery, PC | Otolaryngology | 8316 Arlington Blvd, Ste 410, Fairfax, VA 22031-5207 | 2015-04-24 |
| 1649517830 | Megan Goetz | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2013-01-09 |
| 1104188978 | Kazumi Keener | Occupational Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2012-06-08 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578793212 | Maureen S O'donnell Debritz | Surgery | 3620 Joseph Siewick Dr., Suite 406, Fairfax, VA 22033 | 2009-07-15 |
| 1588837249 | Emergency Surgery, LLC | Surgery | 3133 Barkley Dr, Fairfax, VA 22031-2720 | 2008-04-02 |
| 1871774232 | Chaitanya Krishna Dahagam | Surgery | 8819 Blue Royale Ln, Fairfax, VA 22031-2150 | 2007-11-14 |
| 1861579898 | Kimberly Ann Matzie | Surgery | 2710 Prosperity Ave, Suite 200, Fairfax, VA 22031-4357 | 2006-11-01 |
| 1285743146 | Hernan I Vargas | Surgery | 3650 Joseph Siewick Dr Ste 200, Fairfax, VA 22033-1712 | 2006-08-30 |
| 1134176498 | Teruaki Kodama | Surgery | 8316 Arlington Blvd Ste 602, Fairfax, VA 22031-5216 | 2006-05-30 |
| 1558336081 | Stephanie Akbari | Surgery | 8503 Arlington Blvd Ste 340, Fairfax, VA 22031-4629 | 2006-02-20 |
| 1972582187 | Oswald Felipe Medina | Surgery | 9119 Glenbrook Rd, Fairfax, VA 22031-3010 | 2006-01-16 |
| 1619963139 | Amir Houshang Moazzez | Surgery | 3620 Joseph Siewick Drive, Suite 200, Fairfax, VA 22033 | 2005-09-20 |
| 1598751117 | Hamid Reza Pourshojae | Surgery | 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033-1764 | 2005-09-20 |
| 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.