Jessica Suppa Ware (NPI# 1003921008, PAC ID# 0244383982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1003921008 |
| PAC ID by PECOS | 0244383982 |
| Professional Enrollment ID | I20090729000143 |
| Full Name | Jessica Suppa Ware |
| Organization Legal Name | NORTHERN VIRGINIA FAMILY PRACTICE ASSOCIATES |
| Address |
4401 Ford Ave Suite 250 Alexandria VA 22302-1467 |
| Phone Number | 7033798879 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6800872433 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 | 7033798879 | NORTHERN VIRGINIA FAMILY PRACTICE ASSOCIATES |
| Organization Legal Name | NORTHERN VIRGINIA FAMILY PRACTICE ASSOCIATES |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha W Lewry Beauvais | Family Medicine | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 |
| Stephen L. Cornwell | Family Medicine | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 |
| Cecily D Havert | Internal Medicine | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 |
| Charles W Gardner | Family Medicine | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 |
| Richard D Nemeth | Family Practice | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 |
| Street Address |
4401 FORD AVE SUITE 250 |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22302-1467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha W Lewry Beauvais | Family Medicine | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 |
| Stephen L. Cornwell | Family Medicine | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 |
| Cecily D Havert | Internal Medicine | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 |
| Charles W Gardner | Family Medicine | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1467 |
| Richard D Nemeth | Family Practice | Northern Virginia Family Practice Associates | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed Mahmoud Elebiary | Internal Medicine | 5100 Leesburg Pike, Suite 101, Alexandria, VA 22302-1000 | |
| Michael G Cohen | Optometry | 4680 King St, Alexandria, VA 22302-1215 | |
| Stephen A Haering | Preventative Medicine | Commonwealth of Virginia State Board of Health | 4480 King St, Suite 413, Alexandria, VA 22302-1339 |
| Niv Borenstein | Chiropractic | King Street Back and Neck Care | 3543 W Braddock Rd, Suite 200, Alexandria, VA 22302-1900 |
| Steven C Trauben | Chiropractic | King Street Back and Neck Care | 3543 W Braddock Rd, Suite 200, Alexandria, VA 22302-1900 |
| Zafar A Ansari | Internal Medicine | 3541 W Braddock Rd, Suite 203, Alexandria, VA 22302-1902 | |
| Ginikachukwu Agudosi | Nurse Practitioner | Medstar Urgent Care LLC | 3610 C King St, Alexandria, VA 22302-1908 |
| Nosheen Azam | Family Medicine | Medstar Urgent Care LLC | 3610 C King St, Alexandria, VA 22302-1908 |
| Giovanna Morena | Psychiatry | 1707 Osage St, Suite 404, Alexandria, VA 22302-2611 | |
| Andre V Gligor | Nurse Practitioner | Dean J Storer Md PC | 1707 Osage St, Suite 404, Alexandria, VA 22302-2611 |
| Find all physicians in zip 22302 | |||
| City | ALEXANDRIA |
| Zip Code | 22302 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALEXANDRIA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.