LINDA PARK NIMS (NPI# 1922005537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922005537 |
Entity Type | Individual |
Full Name | LINDA PARK NIMS |
Credential | M.D. |
Practice Address |
243 Church St Nw Suite 200 C Vienna VA 22180-4434 |
Mailing Address |
Po Box 79262 Baltimore MD 21279-0262 |
Practice Telephone | 7039385700 |
Practice Fax Number | 7039384467 |
Mailing Telephone | 7039385700 |
Mailing Fax Number | 7039384467 |
Enumeration Date | 2005-06-29 |
Last Update Date | 2008-03-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
0101028419 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | GROUP MEDICARE PIN | G00477 | 01 |
Street Address |
243 CHURCH ST NW SUITE 200 C |
City | VIENNA |
State | VA |
Zip Code | 22180-4434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538453683 | Alexandra Kaghan, Lcsw, LLC | Counselor | 243 Church St Nw, Suite 300a, Vienna, VA 22180-4434 | 2011-06-07 |
1528388501 | Patricia Velkoff, Ph.d., P.C. | Clinic/Center | 243 Church St Nw, Suite 300-a, Vienna, VA 22180-4434 | 2010-06-01 |
1386810299 | Dermatology & Dermatologic Surgery Group of Northern Virginia Pllc | Dermatology | 243 Church St Nw, Vienna, VA 22180-4434 | 2008-05-01 |
1134252455 | Kelley Pagliai Redbord | Dermatology | 243 Church St Nw, Suite 200-c, Vienna, VA 22180-4434 | 2007-03-14 |
1760533814 | Mark Allen Chalfant | Chiropractor | 243 Church St Nw, Suite 300b, Vienna, VA 22180-4434 | 2007-01-16 |
1417008699 | New Life Wellness Center | Chiropractor | 243 Church St Nw, Suite 300b, Vienna, VA 22180-4434 | 2007-01-15 |
1255482436 | Kathryn Anne Thompson | Chiropractor | 243 Church St Nw, Suite 300b, Vienna, VA 22180-4434 | 2007-01-15 |
1528115953 | Barbara Caceres | Social Worker | 243 Church St Nw, Suite 300a, Vienna, VA 22180-4434 | 2007-01-05 |
1174698682 | Alice Kassabian Phd Lcsw Ltd | Social Worker | 243 Church St Nw, Suite 300a, Vienna, VA 22180-4434 | 2006-11-21 |
1619049632 | Linda P Nims Md & Assoc | Dermatology | 243 Church St Nw, Suite 200 C, Vienna, VA 22180-4434 | 2006-11-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
Find all providers in zip 22180 |
Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932426418 | Patricia Lucey | Dermatology | 8100 Boone Blvd, Suite 300, Vienna, VA 22182-4621 | 2010-04-23 |
1922049006 | Center for Skin Surgery Pllc | Dermatology | 8301 Old Court House Rd, Vienna, VA 22182 | 2006-06-09 |
1780816421 | Gilead Segev | Dermatology | 8230 Old Courthouse Rd, Suite 550, Vienna, VA 22182-3853 | 2009-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225343262 | Mary Francis Hunter | Dermatology | 100 2nd St Nw, Charlottesville, VA 22902-5193 | 2010-08-14 |
1265635114 | Bridget M Bryer | Dermatology | 215 Wayles Ln Ste 150, Charlottesville, VA 22911-4631 | 2007-06-07 |
1053407452 | Theresa Conologue | Dermatology | 1101 Sam Perry Blvd Ste 121, Fredericksburg, VA 22401-4465 | 2006-10-04 |
1083708655 | Hoang Nguyen Pham | Dermatology | 4326 Evergreen Lane, Suite A, Annandale, VA 22003 | 2006-10-03 |
1407867500 | Chauncey A. Mchargue | Dermatology | 1100 Sunset Ln, Suite 1212, Culpeper, VA 22701-3307 | 2006-08-11 |
1952387060 | Martin S Horn | Dermatology | 10721 Main Street, Suite 3100, Fairfax, VA 22030-6906 | 2005-12-20 |
1023550654 | James River Dermatology Pllc | Dermatology | 6372 Mechanicsville Tpke Ste 103, Mechanicsville, VA 23111 | 2016-11-14 |
1417400763 | Monica Ka Yi Li | Dermatology | 125 Market St, Virginia Beach, VA 23462-6794 | 2016-08-03 |
1588949234 | Valley Skin Specialists | Dermatology | 3706 S Main St, Suite B, Blacksburg, VA 24060-7006 | 2011-10-13 |
1558653725 | John Eric Jackson | Dermatology | 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-6233 | 2011-05-06 |
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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.