Mariya Bourget (NPI# 1477870541, PAC ID# 4880880145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477870541 |
| PAC ID by PECOS | 4880880145 |
| Professional Enrollment ID | I20101129000445 |
| Full Name | Mariya Bourget |
| Organization Legal Name | CLIFTON CENTREVILLE MEDICAL ASSOCIATES |
| Address |
5895 Trinity Pkwy Suite 100 Centreville VA 20120-1996 |
| Phone Number | 7038022004 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7416987904 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490101 | INOVA FAIR OAKS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1996 | 7038022004 | CLIFTON CENTREVILLE MEDICAL ASSOCIATES |
| Organization Legal Name | CLIFTON CENTREVILLE MEDICAL ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R Levinstone | Internal Medicine | Clifton Centreville Medical Associates | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1996 |
| Street Address |
5895 TRINITY PKWY SUITE 100 |
| City | CENTREVILLE |
| State | VA |
| Zip | 20120-1996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R Levinstone | Internal Medicine | Clifton Centreville Medical Associates | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Katherine Ryan | Family Medicine | Rocky Run Family Medicine Inc | 5645 Stone Rd, Centreville, VA 20120-1618 |
| Abigail Crisman Ho | Nurse Practitioner | Rocky Run Family Medicine Inc | 5645 Stone Rd, Centreville, VA 20120-1618 |
| Robert Mancini | Family Medicine | Rocky Run Family Medicine Inc | 5645 Stone Rd, Centreville, VA 20120-1618 |
| Laurie Susan Markin | Family Medicine | Rocky Run Family Medicine Inc | 5645 Stone Rd, Centreville, VA 20120-1618 |
| Sandor Niemann | Family Medicine | Rocky Run Family Medicine Inc | 5645 Stone Rd, Centreville, VA 20120-1618 |
| Marilyn L Durbin | Clinical Social Worker | 5675 Stone Rd, Suite 300, Centreville, VA 20120-1667 | |
| Diana H O'brien | Clinical Social Worker | 5675 Stone Rd, Suite 300, Centreville, VA 20120-1667 | |
| Laurie A Weiss-braunstein | Clinical Social Worker | 5675 Stone Rd, Suite 210, Centreville, VA 20120-1667 | |
| Lawrence Granlund | Chiropractic | 5675 Stone Rd, Suite 220, Centreville, VA 20120-1667 | |
| James M Hurst | Podiatry | 5729 Centre Square Dr, Centreville, VA 20120-1916 | |
| Find all physicians in zip 20120 | |||
| City | CENTREVILLE |
| Zip Code | 20120 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CENTREVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mariya Bourget.
| 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.