ALAN ERIC BENHEIM (NPI# 1750369351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750369351 |
| Entity Type | Individual |
| Full Name | ALAN ERIC BENHEIM |
| Credential | M.D. |
| Practice Address |
8500 Executive Park Ave Ste 110 Fairfax VA 22031-2228 |
| Practice Telephone | (703) 573-0504 |
| Practice Fax Number | 7035734856 |
| Mailing Telephone | (703) 573-0504 |
| Mailing Fax Number | 7035734856 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2017-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
0101049505 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006721028 | 05 |
| Street Address |
8500 EXECUTIVE PARK AVE STE 110 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990212 | Shripriya Mohan O'neill | Nurse Practitioner | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2019-03-08 |
| 1518018076 | Sarah Ann Chambers Gurson | Pediatrics | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2007-01-12 |
| 1306824909 | Jin Hyuk Park | Pediatrics | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2006-01-04 |
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184870685 | Harish Sitaram Rudra | Pediatrics | 8316 Arlington Blvd, Suite 500, Fairfax, VA 22031-5207 | 2008-08-15 |
| 1548427271 | Jennifer Brown O'neil | Pediatrics | 8316 Arlington Blvd, Suite 500, Fairfax, VA 22031-5207 | 2008-05-20 |
| 1528021755 | William C Kirby | Pediatrics | 8318 Arlington Blvd, Suite 250, Fairfax, VA 22031-5218 | 2006-04-10 |
| 1265495428 | Jennifer H Lindsey | Pediatrics | 8318 Arlington Blvd, Suite 250, Fairfax, VA 22031-5218 | 2006-04-10 |
| 1861454472 | Stephen R Shapiro | Pediatrics | 8316 Arlington Blvd, Suite 500, Fairfax, VA 22031-5218 | 2006-04-06 |
| 1700848439 | Radha R Cohen | Pediatrics | 8318 Arlington Blvd, Suite 250, Fairfax, VA 22031-5218 | 2006-04-06 |
| 1487616082 | Patrick F Callahan | Pediatrics | 8318 Arlington Blvd, Suite 250, Fairfax, VA 22031-5218 | 2006-04-06 |
| 1275595910 | James Alan Thompson | Pediatrics | 8318 Arlington Blvd, Suite 250, Fairfax, VA 22031-5218 | 2006-04-06 |
| 1831151067 | Frank Martin Galioto Jr. | Pediatrics | 8318 Arlington Blvd, Suite 250, Fairfax, VA 22031-5218 | 2006-04-04 |
| 1609854207 | Sharon S Karr | Pediatrics | 8500 Executive Park Ave, Suite110, Fairfax, VA 22031-2225 | 2006-01-04 |
| 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.