DR. PETR BOCEK (NPI# 1790998458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790998458 |
| Entity Type | Individual |
| Full Name | DR. PETR BOCEK |
| Credential | MD, PHD |
| Practice Address |
8100 Ashton Avenue Suite 207b Manassas VA 20109 |
| Mailing Address |
P.o. Box 348 Poolesville MD 20837 |
| Practice Telephone | 8555287348 |
| Practice Fax Number | 8553292873 |
| Mailing Telephone | 8555287348 |
| Mailing Fax Number | 8553292873 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2012-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101223417 | VA | Other Service Providers |
| N | 174400000X | Specialist | D0061993 | MD | Other Service Providers |
| N | 207K00000X | Allergy & Immunology | D0061993 | MD | Allopathic & Osteopathic Physicians |
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
0101223417 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
8100 ASHTON AVENUE SUITE 207B |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912022187 | Fairfax Family Prac Cen | Family Medicine | 8100 Ashton Avenue, Suite 101, Manassas, VA 20109 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610682 | Kaufman Allergy Asthma and Immunology, Pllc | Allergy & Immunology | 8320 Old Courthouse Rd Ste 310, Vienna, VA 22182-3831 | 2020-08-23 |
| 1962862672 | Fame Allergy, PC | Allergy & Immunology | 1002 Apperson Dr, Salem, VA 24153-7133 | 2016-02-24 |
| 1346423381 | Vickie Kyuran Lee | Allergy & Immunology | 44320 Premier Plz, Suite #110, Ashburn, VA 20147-5076 | 2007-12-13 |
| 1871619452 | Allergy, Asthma and Sinus Center of Central Virginia | Allergy & Immunology | 3701 Boulevard Ste H, Colonial Heights, VA 23834-1339 | 2007-03-22 |
| 1053436451 | Hassan Mohagheghi | Allergy & Immunology | 3701 Boulevard, Suite H, Colonial Heights, VA 23834-1339 | 2007-03-21 |
| 1548340748 | Laura Ispas | Allergy & Immunology | 19455 Deerfield Ave Ste 207, Leesburg, VA 20176-8102 | 2006-10-16 |
| 1811092414 | Manuel Guillen | Allergy & Immunology | 101 34 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| 1871515296 | Albert L. Huber | Allergy & Immunology | 910 E High St, Charlottesville, VA 22902-4850 | 2006-07-24 |
| 1659302560 | Murali Dharan Sharath | Allergy & Immunology | 4534 Bonney Rd, Suite B, Virginia Beach, VA 23462-3873 | 2006-07-06 |
| 1932130531 | Kimberly C George | Allergy & Immunology | 201 Concourse Blvd, Ste 100, Glen Allen, VA 23059-5640 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
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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.