DR. VINCENT GUY DESIDERIO JR. (NPI# 1972589513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972589513 |
| Entity Type | Individual |
| Full Name | DR. VINCENT GUY DESIDERIO JR. |
| Credential | M.D. |
| Practice Address |
3301 New Mexico Ave Nw #248 Washington DC 20016-3622 |
| Mailing Address |
2420 44th St Nw Washington DC 20007-1103 |
| Practice Telephone | 2026861286 |
| Practice Fax Number | 2026866278 |
| Mailing Telephone | 2023381895 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2008-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 12007 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
3301 NEW MEXICO AVE NW #248 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-3622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172174 | Joshua Shigeru Yamamoto | Internal Medicine | 3301 New Mexico Ave Nw, Ste 202, Washington, DC 20016-3627 | 2005-05-30 |
| 1508357906 | Julie Bullard Smallman | Clinical Neuropsychologist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2018-05-22 |
| 1790200715 | Roshni Rao | Clinical Neuropsychologist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2017-08-10 |
| 1326562000 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2017-08-03 |
| 1518401751 | Kathleen Ann Hughes | Physical Therapist | 3301 New Mexico Ave Nw, Suite 318, Washington, DC 20016-3622 | 2016-12-07 |
| 1548717135 | Privia Medical Group, LLC | Pain Medicine | 3301 New Mexico Ave Nw, Suite 346, Washington, DC 20016-3622 | 2016-09-01 |
| 1710432810 | Professional Sportscare & Rehab, LLC | Physical Therapist | 3301 New Mexico Ave Nw, Ste 250, Washington, DC 20016-3622 | 2016-08-18 |
| 1851759849 | Julianne Auman | Physical Therapist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2016-02-04 |
| 1316383151 | Sarah Pozniak | Internal Medicine | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2013-05-20 |
| 1588914980 | Foxhall Medicine, Pllc | Internal Medicine | 3301 New Mexico Ave Nw, Suite 202, Washington, DC 20016-3622 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736671 | Washington Dc Hand & Upper Extremity Ambulatory Surgery Center LLC | Neuromusculoskeletal Medicine, Sports Medicine | 1145 19th St Nw Ste 850, Washington, DC 20036-3700 | 2017-08-15 |
| 1093126823 | Jagdev Singh Dhilion | Neuromusculoskeletal Medicine, Sports Medicine | 1647 Benning Rd Ne, Suite #202, Washington, DC 20002-4569 | 2014-05-14 |
| City | WASHINGTON |
| Zip Code | 20016 |
Please comment or provide details below to improve the information on DR. VINCENT GUY DESIDERIO JR..
| 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.