STAR FAMILY MEDICINE (NPI# 1770753097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770753097 |
| Entity Type | Organization |
| Organization Name | STAR FAMILY MEDICINE |
| Practice Address |
3915 Old Lee Hwy Unit 21-c Fairfax VA 22030-2432 |
| Practice Telephone | 7033856070 |
| Mailing Telephone | 7033856070 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. MONICA SORINA MIHALACHE (DIRECTOR) |
| Authorized Official Telephone | 7033856070 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0101238983 | VA | Ambulatory Health Care Facilities |
| Street Address |
3915 OLD LEE HWY UNIT 21-C |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316511 | Gina M Simonetti | Chiropractor | 3915 Old Lee Hwy, 22c, Fairfax, VA 22030-2432 | 2005-09-13 |
| 1508287350 | Capital City Chiropractic Management Plc | Chiropractor | 3915 Old Lee Hwy, Suite 21d, Fairfax, VA 22030-2432 | 2013-12-20 |
| 1154662799 | Regional Health Partners LLC | Specialist | 3915 Old Lee Hwy, Suite 21c, Fairfax, VA 22030-2432 | 2013-03-06 |
| 1952517997 | Daniel J Noonan | Obstetrics & Gynecology | 3915 Old Lee Hwy, Unit 21c, Fairfax, VA 22030-2432 | 2007-05-15 |
| 1518016377 | Janet Keejung Song | Dentist | 3915 Old Lee Hwy, 22-d, Fairfax, VA 22030-2432 | 2007-01-10 |
| 1710992136 | Patriot Chiropractic Center P.l.l.c. | Chiropractor | 3915 Old Lee Hwy, Ste 22c, Fairfax, VA 22030-2432 | 2006-07-31 |
| 1609836022 | Myong J Cha Dds PC | Dentist | 3915 Old Lee Hwy, 22d, Fairfax, VA 22030 | 2006-03-28 |
| 1407841869 | Steven Bernabeu | Chiropractor | 3915 Old Lee Hwy, 22c, Fairfax, VA 22030-2432 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760048102 | Marin Holistic Health & Acupuncture, Inc | Clinic/Center | 85 Bolinas Rd Ste 4-5, Fairfax, CA 94930-1659 | 2019-05-10 |
| 1255751228 | Pinnacle Family Practice, LLC | Clinic/Center | 13135 Lee Jackson Memorial Hwy Ste 202, Fairfax, VA 22033-1907 | 2014-04-17 |
| 1962045542 | Kumaresansankaran,md,pc | Clinic/Center | 2812 Old Lee Hwy Ste 210b, Fairfax, VA 22031-4367 | 2019-10-25 |
| 1508386483 | James E Long, Md, PC | Clinic/Center | 8316 Arlington Blvd Ste 650, Fairfax, VA 22031-5216 | 2017-06-22 |
| 1962857318 | Joann Pfundstein, Md, LLC | Clinic/Center | 3020 Hamaker Ct, Suite B102, Fairfax, VA 22031-2238 | 2016-05-03 |
| 1710381660 | Kenneth J Kim, M.d., P.C. | Clinic/Center | 3930 Pender Dr, Suite 330, Fairfax, VA 22030-0985 | 2014-10-21 |
| 1346526043 | Gil U. Kim, Md PC | Clinic/Center | 8316 Arlington Blvd Ste 514, Fairfax, VA 22031-5216 | 2011-10-25 |
| 1386878999 | Siavash Sobhani M.d. P.C. | Clinic/Center | 3650 Joseph Siewick Dr Ste 107, Fairfax, VA 22033-1711 | 2009-05-11 |
| 1942451695 | Virginia Advanced Medical Center, PC | Clinic/Center | 3930 Pender Dr Ste 320, Fairfax, VA 22030-0986 | 2008-09-30 |
| 1144497082 | Wynn Family Medicine, Pllc | Clinic/Center | 8316 Arlington Blvd, Suite 234, Fairfax, VA 22031-5207 | 2008-05-09 |
| 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.