DR. MICHAEL AVERY CLEMENS (NPI# 1801115258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801115258 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL AVERY CLEMENS |
| Practice Address |
8290 Old Courthouse Rd Ste D Vienna VA 22182-3837 |
| Practice Telephone | 7034488818 |
| Practice Fax Number | 7034480468 |
| Mailing Telephone | 7034488818 |
| Mailing Fax Number | 7034480468 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101043568 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487167029 | Michael Wayne Clemens | Social Worker | 363 7th Ave Fl 21, New York, NY 10001-3904 | 2017-11-06 |
| 1871852095 | Michael Steven Clemens | Surgery | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2012-05-08 |
| 1427086677 | Michael G. Clemens | Internal Medicine | 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 | 2006-06-28 |
| Street Address |
8290 OLD COURTHOUSE RD STE D |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739529 | Maureen Marguerite Loftus | Specialist | 8321 Old Courthouse Rd Ste 130, Vienna, VA 22182-3817 | 2020-04-24 |
| 1477812527 | Brenda J Udell | Specialist | 1218 11th St, Vienna, WV 26105-2114 | 2012-05-10 |
| 1083940001 | Camila Sahebi | Specialist | 8290 Old Courthouse Rd Ste C, Vienna, VA 22182 | 2009-10-27 |
| 1740479963 | Kimberly C. Veach | Specialist | 2190 Old Route 146 Loop, Vienna, IL 62995-2416 | 2007-10-24 |
| 1467673541 | Leslie Susan Dunlap | Specialist | 341 Niles Vienna Rd, Vienna, OH 44473-9501 | 2007-05-02 |
| 1932254620 | Sergio R. Rimola, M.d. Pllc | Specialist | 8302 Old Courthouse Rd Ste A, Vienna, VA 22182-3873 | 2007-01-24 |
| 1861567679 | Thomas Robert Shepler | Specialist | 415 Church St Ne, Suite 101, Vienna, VA 22180-4742 | 2006-11-21 |
| 1356435515 | Morad Tavallali | Specialist | 8245 Boone Blvd, Suite 540, Vienna, VA 22182-3828 | 2006-10-03 |
| 1457459455 | Brenda Dintiman | Specialist | 370 Maple Ave W Ste V, Vienna, VA 22180-5615 | 2006-09-21 |
| 1265548044 | Jimmy A. Chow | Specialist | 8150 Leesburg Pike, Suite 910, Vienna, VA 22182-7714 | 2006-08-22 |
| Find all providers in VIENNA | ||||
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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.