AMIR DANGOL (NPI# 1902069164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902069164 |
| Entity Type | Individual |
| Full Name | AMIR DANGOL |
| Credential | MD |
| Practice Address |
1101 Sam Perry Blvd Suite 415 Fredericksburg VA 22401-4467 |
| Mailing Address |
Po Box 10066 Mc Lean VA 22102-8066 |
| Practice Telephone | 5403100117 |
| Practice Fax Number | 5403104736 |
| Mailing Telephone | 5716122600 |
| Mailing Fax Number | 5712664096 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2014-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
0101253334 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1902069164 | 05 |
| Street Address |
1101 SAM PERRY BLVD SUITE 415 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301806 | Stephanie M Strazinsky | Physician Assistant | 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 | 2005-07-21 |
| 1144843095 | Paul James Kinkead | Physician Assistant | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2020-05-27 |
| 1386282176 | Ashley Michelle Baker | Advanced Practice Midwife | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2019-12-12 |
| 1831735323 | Charles D Valiani | Pharmacist | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2019-11-20 |
| 1376094557 | Cheryl Denise Corey | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 | 2016-10-21 |
| 1306291646 | Paige Lynch | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4465 | 2016-04-23 |
| 1033577390 | Sarah Vitaletti | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 | 2016-02-02 |
| 1497129134 | Lauren Backy | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 401, Fredericksburg, VA 22401-4467 | 2015-11-18 |
| 1679998116 | Jared Kachurak | Physician Assistant | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 | 2014-02-20 |
| 1952742660 | Kimberly Beth Gordon | Physician Assistant | 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 | 2013-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1891073110 | Aron K Mccloud | Pediatrics | 629 Cedar Creek Grade Ste B, Winchester, VA 22601-2786 | 2011-08-03 |
| 1346566189 | Kalpana Thammineni | Pediatrics | 171 Elden Street, 200, Herndon, VA 20170 | 2010-04-19 |
| 1710216734 | Richard Merrill Schieken | Pediatrics | 422 September Dr, Richmond, VA 23229-7318 | 2009-12-22 |
| 1447210802 | Jonathan Todd Fleenor | Pediatrics | 601 Children's Lane, Norfolk, VA 23507 | 2006-03-27 |
| 1750369351 | Alan Eric Benheim | Pediatrics | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2006-01-04 |
| 1487170841 | Bluefield Pediatric Cardiology Associates | Pediatrics | 2221 W Cumberland Rd, Bluefield, VA 24605 | 2017-08-17 |
| 1265898142 | Blue Ridge Medical Management Corporation | Pediatrics | 16000 Johnston Memorial Dr, Suite 312e, Abingdon, VA 24211-7664 | 2016-01-08 |
| 1558747592 | Pediatric Cardiology of Central Virginia PC | Pediatrics | 7603 Forest Ave, Suite 401, Richmond, VA 23229-4942 | 2015-07-31 |
| 1033519855 | Casa Pediatrics | Pediatrics | 14130 Noblewood Plz, Suite 306, Woodbridge, VA 22193-1464 | 2014-08-28 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.