DR. SCOTT D KANTOR (NPI# 1821158437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821158437 |
| Entity Type | Individual |
| Full Name | DR. SCOTT D KANTOR |
| Credential | MD |
| Practice Address |
12011 Lee Jackson Memorial Hwy Kaiser Permanente Penderbrook Medical Center Fairfax VA 22033-3310 |
| Mailing Address |
2101 East Jefferson Street Kaiser Permanente Mid Atlantic Permanente Medical Group Rockville MD 20852-4908 |
| Practice Telephone | 7033835541 |
| Practice Fax Number | 7033835547 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | MD33129 | DC | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | D25669 | MD | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 0101031810 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721686 | Scott Gordon Kantor | Specialist | 576 Hartnell St, Suite 200, Monterey, CA 93940-2833 | 2005-09-21 |
| Street Address |
12011 LEE JACKSON MEMORIAL HWY KAISER PERMANENTE PENDERBROOK MEDICAL CENTER |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831171800 | Jason Mark Rashkin | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2005-11-16 |
| 1376013391 | Nan Liu | Acupuncturist | 12011 Lee Jackson Memorial Hwy, Suite #320, Fairfax, VA 22033 | 2018-12-03 |
| 1982195939 | Eduardo Jose Dominguez | Specialist/Technologist, Other | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2018-05-25 |
| 1033535778 | Bnm, Inc. | Pediatrics | 12011 Lee Jackson Memorial Hwy, Suite 220, Fairfax, VA 22033-3310 | 2014-03-05 |
| 1962836072 | Rk Dental Care | Dentist | 12011 Lee Jackson Memorial Hwy, Suite 502, Fairfax, VA 22033-3310 | 2013-08-26 |
| 1932447463 | Health Connect Ipa | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Suite 504, Fairfax, VA 22033-3310 | 2013-01-17 |
| 1346591989 | Komal S. Karmacharya | Dentist | 12011 Lee Jackson Memorial Hwy, Suite 502, Fairfax, VA 22033-3310 | 2012-09-23 |
| 1598044042 | Oladapo Michael Onijala | Pharmacist | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2011-08-15 |
| 1972750032 | Rahmatullah Ishaqzay | Clinic/Center | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2008-08-20 |
| 1215193529 | Constantine Tziros | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Penderbrook Medical Center, Fairfax, VA 22033-3310 | 2008-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477015170 | Eric J W Choe Md PC | Urology | 2826 Old Lee Hwy Ste 300, Fairfax, VA 22031-4346 | 2019-04-02 |
| 1801137963 | Joel Barry Alperstein | Urology | 4041 University Dr Ste 450, Fairfax, VA 22030-3410 | 2013-03-13 |
| 1780902981 | Paulina G Wilson | Urology | 8503 Arlington Blvd Ste 310, Fairfax, VA 22031-4629 | 2010-05-12 |
| 1609011329 | Brett F Holt | Urology | 8503 Arlington Boulevard #310, Northern Virginia Urology, Pllc, Fairfax, VA 22031 | 2008-12-09 |
| 1669498028 | Todd Brian Tescher | Urology | 8316 Arlington Blvd Ste 414, Fairfax, VA 22031-5216 | 2006-07-15 |
| 1366419202 | Sunil V Patel | Urology | 3020 Hamaker Court, Suite B-111, Fairfax, VA 22031-2220 | 2006-02-28 |
| 1659353043 | Michael R Hardy | Urology | 3580 Joseph Siewiwck Drive, Suite 401, Fairfax, VA 22033 | 2005-11-19 |
| 1093797482 | Anthony R Vara | Urology | 3700 Joseph Siewick Dr Ste 101, Fairfax, VA 22033-1737 | 2005-11-19 |
| 1518968601 | Robert Alan Ball | Urology | 8503 Arlington Blvd, #310, Fairfax, VA 22031-4628 | 2005-08-10 |
| 1164747499 | Rachel Edlin Selekman | Urology | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2010-03-30 |
| 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.