DR. ANDREA R GIACOMETTI (NPI# 1851367254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851367254 |
| Entity Type | Individual |
| Full Name | DR. ANDREA R GIACOMETTI |
| Credential | MD |
| Practice Address |
8261 Willow Oaks Corporate Dr Kaiser Permanente Imaging Center Fairfax VA 22031-4512 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 7032053600 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D37644 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD22146 | DC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101054221 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7200617 | 05 |
| Street Address |
8261 WILLOW OAKS CORPORATE DR KAISER PERMANENTE IMAGING CENTER |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821118373 | Kaiser Foundation Health of The Plan Mid-atlantic States,inc | Health Maintenance Organization | 8261 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | 2007-03-29 |
| 1851456040 | Paul Stanley Zimmons | Radiology | 8261 Willow Oaks Corporate Dr, Fairfax, VA 22030-4512 | 2006-12-27 |
| 1730243098 | Abida Nasreen | Radiology | 8261 Willow Oaks Corporate Dr, Kaiser Permenente Imaging Center, Fairfax, VA 22031-4512 | 2006-12-21 |
| 1952462426 | Andrew William Loftus | Radiology | 8261 Willow Oaks Corporate Dr, Kpic, Fairfax, VA 22031-4512 | 2006-12-12 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932367372 | Anjali Malik | Radiology | 3015 Williams Dr Ste 200, Fairfax, VA 22031-4623 | 2008-05-31 |
| 1003822115 | Scott E Cassar | Radiology | 4001 Fair Ridge Drive, Suite 103, Fairfax, VA 22033-2917 | 2006-07-31 |
| 1386658938 | Carole Z Rubin | Radiology | 3022 Williams Drive, Ste 204, Fairfax, VA 22031-4623 | 2006-07-28 |
| 1417989682 | Jay Mitchell Feder | Radiology | 3611 Sweethorn Ct, Fairfax, VA 22033-1226 | 2006-07-07 |
| 1457382368 | Marianne Shih | Radiology | 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4400 | 2006-07-06 |
| 1841276136 | Albert K Chun | Radiology | 2812 Old Lee Hwy Ste 100b, Fairfax, VA 22031-4315 | 2005-12-19 |
| 1275523805 | Dana A Twible | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2005-10-25 |
| 1699174847 | Saniya Merchant | Radiology | 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4416 | 2014-08-13 |
| 1871836312 | Kiet Trung Nguyen | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2013-04-03 |
| 1487929758 | Arman Sheybani | Radiology | 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4400 | 2012-03-19 |
| 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.