RESTON ENDOSCOPY CENTER (NPI# 1720535958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720535958 |
| Entity Type | Organization |
| Organization Name | RESTON ENDOSCOPY CENTER |
| Practice Address |
1939 Roland Clarke Pl Suite 200 Reston VA 20191-1443 |
| Practice Telephone | 7037662650 |
| Mailing Telephone | 7037662650 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | ANDREW M AXELRAD (PRESIDENT) |
| Authorized Official Telephone | 7037662650 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Reston Endoscopy Center LLC | 1939 Roland Clarke Place, Suite 200, Reston, Virginia 20191 |
| Street Address |
1939 ROLAND CLARKE PL SUITE 200 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382411 | Restesia LLC | Nurse Anesthetist, Certified Registered | 1939 Roland Clarke Pl, Suite 200, Reston, VA 20191-1443 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497722 | Sterling Endoscopy Center, LLC | Clinic/Center | 46169 Westlake Dr Ste 200, Sterling, VA 20165-5875 | 2020-11-06 |
| 1386945533 | Endoscopy Healthcare Specialists LLC | Clinic/Center | 2616 Sherwood Hall Ln, #308, Alexandria, VA 22306-3100 | 2010-11-04 |
| 1467680611 | Northern Virginia Endoscopy Center | Clinic/Center | 2280 Opitz Blvd, Suite 200, Woodbridge, VA 22191-3362 | 2009-06-26 |
| 1790912566 | Gi Endoscopy Center of Northern Virginia | Clinic/Center | 4660 Kenmore Ave, Suite 100, Alexandria, VA 22304-1313 | 2009-06-18 |
| 1063667731 | Fall Hill Gastroenterology Endoscopy Center LLC | Clinic/Center | 4103 Lafayette Blvd, Fredericksburg, VA 22408-4274 | 2008-11-23 |
| 1437326816 | Endoscopy & Digestive Center of Woodbridge | Clinic/Center | 14904 Jefferson Davis Hwy, Suite 103 & 104, Woodbridge, VA 22191-3908 | 2008-05-14 |
Please comment or provide details below to improve the information on RESTON ENDOSCOPY CENTER.
| 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.