MARK M. THEISS, MD, P.C. (NPI# 1770716656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770716656 |
| Entity Type | Organization |
| Organization Name | MARK M. THEISS, MD, P.C. |
| Practice Address |
8316 Arlington Blvd Suite 414 Fairfax VA 22031-5207 |
| Practice Telephone | 7035732218 |
| Practice Fax Number | 7035732373 |
| Mailing Telephone | 7035732218 |
| Mailing Fax Number | 7035732373 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Authorized Official Name | AUDREY CARR (OFFICE MANAGER) |
| Authorized Official Telephone | 7035732218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0101036798 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TH475892 | 05 |
| Street Address |
8316 ARLINGTON BLVD SUITE 414 |
| 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 |
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| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748221 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 11230 Waples Mill Rd Ste 114c, Fairfax, VA 22030-5026 | 2020-04-09 |
| 1134384720 | Bradley Boyd | Orthopaedic Surgery | 3620 Jospeh Siewick Dr Ste 201, Fair Oaks Orthopaedic Associates, Fairfax, VA 22033 | 2008-07-23 |
| 1831289206 | Laurel Claire Blakemore | Orthopaedic Surgery | 3023 Hamaker Ct Ste 200, Fairfax, VA 22031-2240 | 2006-10-13 |
| 1295829893 | Commonwealth Orthopaedics & Rehabilitation, PC | Orthopaedic Surgery | 11240 Waples Mill Road, Suite 403, Fairfax, VA 22030 | 2006-10-03 |
| 1740223932 | Robert A Hymes | Orthopaedic Surgery | 8503 Arlington Blvd Ste 200, Fairfax, VA 22031-4629 | 2006-06-14 |
| 1720088941 | Aram Orthopaedics, P.C. | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2005-07-29 |
| 1114470606 | George Mason University | Orthopaedic Surgery | 4400 University Dr, Fairfax, VA 22030-4422 | 2016-08-01 |
| 1588066740 | Orthovirginia Inc. | Orthopaedic Surgery | 11240 Waples Mill Rd, Suite 403, Fairfax, VA 22030-6078 | 2014-09-19 |
| 1154769040 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030 | 2013-06-12 |
| 1487091534 | Aaron Rich Ducoffe | Orthopaedic Surgery | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2013-05-30 |
| 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.