Amanda Unalivia (NPI# 1174901953, PAC ID# 7214245679) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174901953 |
| PAC ID by PECOS | 7214245679 |
| Professional Enrollment ID | I20160803001356 |
| Full Name | Amanda Unalivia |
| Organization Legal Name | ADVANCED DERMATOLOGY OF VIRGINIA INC |
| Address |
3700 Joseph Siewick Dr Suite 302 Fairfax VA 22033-1739 |
| Phone Number | 7036482488 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9436438538 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 | 7036482488 | ADVANCED DERMATOLOGY OF VIRGINIA INC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF VIRGINIA INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheri Adgerson | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Emily A Grisnik | 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 |
| Marvin Chadab | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| David A Kon | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Lucrisha M Banford | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Danielle Baruch | Dermatology | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Bruce David Glassman | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Tania Milling | Physician Assistant | Advanced Dermatology of Virginia Inc | 3700 Joseph Siewick Dr, Suite 302, Fairfax, VA 22033-1739 |
| Street Address |
3700 JOSEPH SIEWICK DR SUITE 302 |
| City | FAIRFAX |
| State | VA |
| Zip | 22033-1739 |
| 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 |
| Jonathan M Mobley | Urology | Fair Oaks Urology, L.L.C. | 3700 Joseph Siewick Dr, Suite 101, Fairfax, VA 22033-1737 |
| 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 | |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | FAIRFAX + 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.