MR. KEVIN JAMES FAVERO-ORTIZ (NPI# 1760926430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760926430 |
| Entity Type | Individual |
| Full Name | MR. KEVIN JAMES FAVERO-ORTIZ |
| Credential | MT(ASCP) |
| Practice Address |
5109 Leesburg Pike Suite 504 Falls Church VA 22041-3215 |
| Practice Telephone | 7038829861 |
| Mailing Telephone | 7038829861 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291900000X | Military Clinical Medical Laboratory | 03835074 | Laboratories |
| Street Address |
5109 LEESBURG PIKE SUITE 504 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22041-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558342303 | John Roderick Mcneill Rowe | General Practice | 5109 Leesburg Pike, Suite 538, Falls Church, VA 22041-3215 | 2005-11-09 |
| 1851835516 | Jairo Mejia Ventura | Dental Assistant | 5109 Leesburg Pike, Suite 504, Falls Church, VA 22041-3215 | 2016-12-14 |
| 1457402547 | Neil George Glenesk | Optometrist | 5109 Leesburg Pike, Ste 684, Falls Church, VA 22041-3215 | 2007-01-15 |
| 1659469724 | Michael John Carino | Dentist | 5109 Leesburg Pike, Hqda Otsg, Falls Church, VA 22041-3215 | 2006-10-11 |
| 1205938503 | Jeffrey Chaffin | Dentist | 5109 Leesburg Pike, Suite 682 Office of The Surgeon Gneral, Dasg-dc, Falls Church, VA 22041 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172649 | Compassionate Virginia Home Care LLC | Home Health | 3425 Payne St, Suite#10, Falls Church, VA 22041 | 2018-11-10 |
| 1548752603 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3401 Charles St, Falls Church, VA 22041 | 2018-06-05 |
| 1740639947 | Sina Hedayatnia | Dentist | 5113 Leesburg Pike Ste 811, Falls Church, VA 22041 | 2016-06-08 |
| 1962896050 | Anderson Dental Associates | Dentist | 3701 S. George Mason Dr., Suite#c7n, Falls Church, VA 22041 | 2015-03-26 |
| 1841683059 | Mohammed Filali | Dentist | 5205 Leesburg Pike Suite 1406, Falls Church, VA 22041 | 2015-03-12 |
| 1376948257 | Advance Home Care. LLC | In Home Supportive Care | 5827 Columbia Pike #407, Falls Church, VA 22041 | 2014-11-04 |
| 1447674817 | Noreen Haseeb | Dentist | 3400 Payne St., Suite 101, Falls Church, VA 22041 | 2014-02-06 |
| 1174962518 | Claira E Williams | Counselor | 6016 Hardwick Place, Falls Church, VA 22041 | 2013-06-19 |
| 1306185756 | Paul Andrew Tibbits | Internal Medicine | 801 I Street Nw, Room 1225, Washington, DC 22041 | 2013-02-05 |
| 1518224559 | Qamar Raza | Nurse Practitioner | 3534 Carlin Springs Road, Falls Church, VA 22041 | 2012-04-16 |
| Find all providers in zip 22041 | ||||
| Taxonomy Code | 291900000X |
| Grouping | Laboratories |
| Classification | Military Clinical Medical Laboratory |
| A Department of Defense (DoD) medical clinical reference laboratory not associated with a DoD Hospital or DoD Clinic. An example is the Armed Forces Institute of Pathology. |
| Notes: [1/1/2005: new] |
| City | FALLS CHURCH |
| Zip Code | 22041 |
Please comment or provide details below to improve the information on MR. KEVIN JAMES FAVERO-ORTIZ.
| 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.