Jonathan M Mobley (NPI# 1164458782, PAC ID# 5890708374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1164458782 |
| PAC ID by PECOS | 5890708374 |
| Professional Enrollment ID | I20141229001011 |
| Full Name | Jonathan M Mobley |
| Organization Legal Name | FAIR OAKS UROLOGY, L.L.C. |
| Address |
3700 Joseph Siewick Dr Suite 101 Fairfax VA 22033-1737 |
| Phone Number | 7036981856 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3274818901 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490101 | INOVA FAIR OAKS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3700 Joseph Siewick Dr, Suite 101, Fairfax, VA 22033-1737 | 7036981856 | FAIR OAKS UROLOGY, L.L.C. |
| Organization Legal Name | FAIR OAKS UROLOGY, L.L.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Vara | Urology | Fair Oaks Urology, L.L.C. | 3700 Joseph Siewick Dr, Suite 101, Fairfax, VA 22033-1737 |
| Robert Hart | Urology | Fair Oaks Urology, L.L.C. | 3700 Joseph Siewick Dr, Suite 101, Fairfax, VA 22033-1737 |
| Street Address |
3700 JOSEPH SIEWICK DR SUITE 101 |
| City | FAIRFAX |
| State | VA |
| Zip | 22033-1737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Scudera | Gastroenterology | Gastroenterology Associates of Northern Va | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1739 |
| Anthony R Vara | Urology | Fair Oaks Urology, L.L.C. | 3700 Joseph Siewick Dr, Suite 101, Fairfax, VA 22033-1737 |
| Domingo E Suatengco | Urology | 3700 Joseph Siewick Dr, Suite 206, Fairfax, VA 22033-1738 | |
| Emily A Grisnik | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Kaitlyn Burns | Physician Assistant | The Clinical Skin Center of Northern Virginia Pllc | 3700 Joseph Siewick Dr, Suite 404, Fairfax, VA 22033-1745 |
| Ken E Goldstein | Podiatry | 3700 Joseph Siewick Dr, Suite 200, Fairfax, VA 22033-1737 | |
| Amanda Unalivia | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Reem K Tadros | Dermatology | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Byungki Kim | Gastroenterology | Gastroenterology Associates of Northern Va | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1739 |
| Michael D Greene | Internal Medicine | 3700 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1738 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa D Kelly | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Alexander Nicholas D Sutingco | Emergency Medicine | Fair Oaks Emergency Physicians Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Rene L Ernest | Nurse Practitioner | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Kimberly Barker | Nurse Practitioner | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Ahmed Qureshi | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Suman D Matiana | Family Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Veronica E Johnson | Physician Assistant | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Jennifer Kannan | Physician Assistant | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Sharon L Bachman | General Surgery | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Carmen F Smith | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Find all physicians in zip 22033 | |||
| City | FAIRFAX |
| Zip Code | 22033 |
| Specialty | UROLOGY |
| City + Specialty | FAIRFAX + UROLOGY |
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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.