DR. SUSAN E MANNAN (NPI# 1982735437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982735437 |
| Entity Type | Individual |
| Full Name | DR. SUSAN E MANNAN |
| Other Name | DR. SUSAN E HODGDON |
| Credential | M.D. |
| Practice Address |
3903-a Fair Ridge Dr. Fairfax VA 22033 |
| Mailing Address |
3903-a Fair Ridge Drive Fairfax VA 22033 |
| Practice Telephone | 7036480030 |
| Practice Fax Number | 7036489028 |
| Mailing Telephone | 7036480030 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | C7-0003656 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
3903-A FAIR RIDGE DR. |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760536031 | Anne Christine Miranowski | Allergy & Immunology | 2730 Prosperity Ave Ste A, Fairfax, VA 22031-4330 | 2007-01-23 |
| 1538362504 | Fairfax Neonatal Associates, PC | Allergy & Immunology | 2730 Prosperity Ave Ste A, Fairfax, VA 22031-4330 | 2007-06-07 |
| 1013131010 | Darlene Mansoor | Allergy & Immunology | 3023 Hamaker Ct Ste 300, Fairfax, VA 22031-2240 | 2007-04-12 |
| 1700913290 | David M Anmuth | Allergy & Immunology | 2730 Prosperity Ave Ste A, Fairfax, VA 22031-4330 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954764 | Premier Allergy and Asthma Centers, LLC | Allergy & Immunology | 8100 Ashton Ave Ste 207b, Manassas, VA 20109-5688 | 2020-05-19 |
| 1437630241 | Allergy Partners, Pllc | Allergy & Immunology | 100 Elden St Ste 10, Herndon, VA 20170-4833 | 2018-08-29 |
| 1780053587 | Allergy Partners, Pllc | Allergy & Immunology | 8136 Old Keene Mill Rd Ste A309, Springfield, VA 22152-1853 | 2015-09-22 |
| 1194130294 | Farah Nawaz Khan | Allergy & Immunology | 311 Maple Ave W Ste H, Vienna, VA 22180-4309 | 2014-06-26 |
| 1033470091 | Shahab S Virani | Allergy & Immunology | 1300 Thornton St Ste 200, Fredericksburg, VA 22401-4654 | 2012-06-06 |
| 1235414681 | Ahmad Hamad | Allergy & Immunology | 8233 Old Courthouse Rd Ste 230, Vienna, VA 22182 | 2011-10-17 |
| 1124358486 | Mehmet Eragan, Md | Allergy & Immunology | 3522 Pinetree Ter, Falls Church, VA 22041-1418 | 2010-01-10 |
| 1982869897 | Erin J Klaffky | Allergy & Immunology | 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911-3643 | 2008-07-21 |
| 1114184967 | Karen Robbins | Allergy & Immunology | 1360 Beverly Rd Ste 103, Mc Lean, VA 22101-3621 | 2008-05-20 |
| 1356516546 | Ananth Thyagarajan | Allergy & Immunology | 5210a Lyngate Ct, Burke, VA 22015-4697 | 2008-04-28 |
| Find all providers with the same taxonomy | ||||
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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.