DR. JERRY COWART III (NPI# 1841858305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841858305 |
| Entity Type | Individual |
| Full Name | DR. JERRY COWART III |
| Practice Address |
8500 Executive Park Ave Ste 300 Fairfax VA 22031-2228 |
| Practice Telephone | 7036987117 |
| Practice Fax Number | 7036985729 |
| Mailing Telephone | 7036987117 |
| Mailing Fax Number | 7036985729 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104557581 | VA | Chiropractic Providers |
| Street Address |
8500 EXECUTIVE PARK AVE STE 300 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2228 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674233 | Merrifield Family Chiropractic LLC | Chiropractor | 2750 Prosperity Ave Ste 120, Fairfax, VA 22031-4336 | 2020-06-18 |
| 1265914246 | Chiropractic Concepts Plc | Chiropractor | 3857 Plaza Dr, Fairfax, VA 22030-2512 | 2018-09-05 |
| 1932681277 | Empower Chiropractic LLC | Chiropractor | 9649 Fairfax Blvd, Fairfax, VA 22031-2321 | 2018-09-04 |
| 1326529843 | Eddie Hyun Kim | Chiropractor | 10340 Democracy Ln Ste 203, Fairfax, VA 22030-2518 | 2018-08-23 |
| 1811408685 | Young Chiropractic and Rehab, LLC | Chiropractor | 10400 Eaton Pl Ste 410, Fairfax, VA 22030-2208 | 2017-10-19 |
| 1417487497 | Robert Tyler Schnitzler | Chiropractor | 3925 Chain Bridge Rd Ste 101, Fairfax, VA 22030-3938 | 2017-06-13 |
| 1548622483 | Robert J Ciprian | Chiropractor | 8550 Arlington Blvd., Suite 325, Fairfax, VA 22031-4647 | 2016-03-21 |
| 1508257890 | Monya Tavakoli | Chiropractor | 9693 Main St Ste C, Fairfax, VA 22031-3771 | 2015-02-09 |
| 1649699109 | Cheon Gyu Park | Chiropractor | 10680 Main St, Suite 275, Fairfax, VA 22030 | 2014-04-14 |
| 1720406929 | Asa Reuben Frey | Chiropractor | 9526b Lee Hwy, Fairfax, VA 22031-2303 | 2014-04-03 |
| 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.