JAIRO MARTIN OLIVAS (NPI# 1962898163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962898163 |
| Entity Type | Individual |
| Full Name | JAIRO MARTIN OLIVAS |
| Credential | M.D. |
| Practice Address |
3650 Joseph Siewick Dr Ste 400 Fairfax VA 22033-1715 |
| Practice Telephone | 7033912035 |
| Practice Fax Number | 7032649861 |
| Mailing Telephone | 7033912035 |
| Mailing Fax Number | 7032649861 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0101267656 | VA | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
0101267656 | VA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
ME138665 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1707 N Main St, Gainesville, FL 326093650 | 3522659522 | 3522659575 |
| Street Address |
3650 JOSEPH SIEWICK DR STE 400 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811208028 | Hanna Yoon | Family Medicine | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2010-06-23 |
| 1679199517 | Charles Raymond Fencil | Student in an Organized Health Care Education/Training Program | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2020-06-16 |
| 1578189429 | Lauren Michele Joseph | Student in an Organized Health Care Education/Training Program | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2020-06-16 |
| 1548885494 | Camilla Monika Maybee | Student in an Organized Health Care Education/Training Program | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2020-06-16 |
| 1245855360 | Helen A Evans | Student in an Organized Health Care Education/Training Program | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2020-06-15 |
| 1174148282 | Caroline Crowe | Student in an Organized Health Care Education/Training Program | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2020-06-15 |
| 1952926073 | Vivian Wangmei Lam | Student in an Organized Health Care Education/Training Program | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2020-06-15 |
| 1932724051 | David Tyler Murray | Student in an Organized Health Care Education/Training Program | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2020-06-15 |
| 1811512924 | Natnari Natalie Linwong | Student in an Organized Health Care Education/Training Program | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2020-06-15 |
| 1265077796 | Jennifer Leigh Gaietto | Nurse Practitioner | 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 | 2019-11-07 |
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| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073803912 | Peter H Macarthur | Family Medicine | 8501 Arlington Blvd, Suite 200, Fairfax, VA 22031-4617 | 2011-04-12 |
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|---|---|---|---|---|
| 1326402116 | Che Monte Torry | Family Medicine | 739 Thimble Shoals Blvd Ste 1008, Newport News, VA 23606-3585 | 2016-04-08 |
| 1063802890 | Ferrum College | Family Medicine | 590 Ferrum Mountain Rd, Hank Norton Center, Ferrum, VA 24088 | 2015-02-02 |
| 1013174523 | Kinjal Sohagia | Family Medicine | 732 Thimble Shoals Blvd Ste 803, Newport News, VA 23606-4218 | 2008-05-21 |
| 1396932323 | Wellnessmd @ Acac LLC | Family Medicine | 406 Albemarle Sq, Charlottesville, VA 22901-1472 | 2007-10-03 |
| 1528261674 | Jason Mchugh | Family Medicine | 2613 Taylor Rd Ste 100, Chesapeake, VA 23321-2246 | 2007-06-07 |
| 1073554713 | Teresa Maria Camden | Family Medicine | 5211 W Broad St, 101, Richmond, VA 23230-3009 | 2006-06-10 |
| 1548237993 | Delmas J Bolin | Family Medicine | 25 W Calhoun St, Salem, VA 24153-3836 | 2006-03-03 |
| 1689296360 | Liberty University, Inc | Family Medicine | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-05-15 |
| 1245709088 | Access Healthcare Multi-specialty Group, Pllc | Family Medicine | 2103 Graves Mill Rd, Forest, VA 24551-2675 | 2018-11-23 |
| 1124556352 | Bluefield College | Family Medicine | 3000 College Ave, Bluefield, VA 24605-2050 | 2017-06-01 |
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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.