Cissy Paul Pottanat (NPI# 1295802718, PAC ID# 6709937113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1295802718 |
| PAC ID by PECOS | 6709937113 |
| Professional Enrollment ID | I20090625000080 |
| Full Name | Cissy Paul Pottanat |
| Address |
3450 Gallows Rd Annandale VA 22003-1418 |
| Gender | F |
| Graduation Year | 1989 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490050 | VIRGINIA HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3450 Gallows Rd, Annandale, VA 22003-1418 | ||
| 700 W Broad St, The Kensington Falls, Falls Church, VA 22046-3219 | ||
| 7115 Leesburg Pike, Suite 211, Falls Church, VA 22043-2301 | ||
| 1739 Kirby Rd, Mc Lean, VA 22101-4817 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
3450 GALLOWS RD |
| City | ANNANDALE |
| State | VA |
| Zip | 22003-1418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Cassidy | Orthopedic Surgery | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 | |
| Samuel Hawken | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| Colleen A Kennedy | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| John K Wilson | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Sean C Graham | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan D Campbell | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Megan M Oconnor | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Navdeep K Dhaliwal | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Anna G Davis | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan M Dempsey Lyle | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Find all physicians in zip 22003 | |||
| City | ANNANDALE |
| Zip Code | 22003 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | ANNANDALE + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Cissy Paul Pottanat.
| 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.