SAMON NAZEMIAN (NPI# 1720640790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720640790 |
| Entity Type | Individual |
| Full Name | SAMON NAZEMIAN |
| Practice Address |
3700 Joseph Siewick Dr Fairfax VA 22033-1744 |
| Mailing Address |
2822 Misty Pond Ct Oakton VA 22124-1159 |
| Practice Telephone | 7036209122 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
3700 JOSEPH SIEWICK DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288315 | Marietta F Grundlehner | Specialist | 3700 Joseph Siewick Dr, #305, Fairfax, VA 22033-1744 | 2005-07-08 |
| 1780112961 | Sylvie C Gatcham Tieuzu'u | Specialist/Technologist, Other | 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744 | 2017-06-01 |
| 1215311592 | Stacey Michelle Akers | Nurse Practitioner | 3700 Joseph Siewick Dr, Suite 300, Fairfax, VA 22033-1744 | 2015-07-16 |
| 1851784714 | Waheedullah Ahmadi | Specialist/Technologist, Other | 3700 Joseph Siewick Dr, 408, Fairfax, VA 22033-1744 | 2015-03-16 |
| 1063816155 | Nova Wound Care, P.C. | Family Medicine | 3700 Joseph Siewick Dr, 303, Fairfax, VA 22033-1744 | 2014-10-17 |
| 1144523218 | Shohreh Sharif | Dentist | 3700 Joseph Siewick Dr, Suite 104, Fairfax, VA 22033-1744 | 2010-12-13 |
| 1003126285 | Kristin Dermody Maggi | Physician Assistant | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2010-10-20 |
| 1821305079 | Morgan Elizabeth Klein | Physician Assistant | 3700 Joseph Siewick Dr, Ste 404, Fairfax, VA 22033-1744 | 2010-09-09 |
| 1568781706 | Ivan Peter Harnden | Internal Medicine | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2010-05-27 |
| 1255650495 | Jane Stolka Ryan | Dietitian, Registered | 3700 Joseph Siewick Dr, Suite 408a, Fairfax, VA 22033-1744 | 2010-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336588367 | George Mason University Student Health Service | Clinic/Center | 4400 University Dr, Ms 2 D3, Fairfax, VA 22030-4422 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526433 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 156 Long Hollow Rd, Saltville, VA 24370-4140 | 2020-07-31 |
| 1740899954 | Southwest Virginia Community Health Systems Incorporated | Clinic/Center | 1013 East Main Street, Saltville, VA 24370 | 2020-07-24 |
| 1326697053 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 200 Spring Hill Ter, Bristol, VA 24201-1800 | 2019-09-05 |
| 1790237717 | Kwi | Clinic/Center | 642 Tanglewood Dr, Lynchburg, VA 24502-5673 | 2016-10-25 |
| 1003153701 | James Madison University Health Center | Clinic/Center | 724 South Mason Street Msc 7901, Harrisonburg, VA 22807-1015 | 2013-01-15 |
| 1023303757 | College of William & Mary | Clinic/Center | 1 Gooch Dr, Williamsburg, VA 23185 | 2011-06-10 |
| 1922621754 | Michael Lee Boes | Clinic/Center | 306 Liberty View Ln, Lynchburg, VA 24502-2291 | 2020-05-27 |
| 1992201891 | Moses Kwasi Lopez-twumasi | Clinic/Center | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-04-01 |
| 1083015960 | Southern Virginia University | Clinic/Center | 1 University Hill Dr, Knight Sports Arena, Buena Vista, VA 24416-3038 | 2014-09-10 |
| 1942540208 | Washington and Lee University | Clinic/Center | 204 W Washington St, Student Health Center/davis Residence Hall, Lexington, VA 24450-2116 | 2013-02-25 |
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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.