Katie L Kotopoulos (NPI# 1053303651, PAC ID# 9931155033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053303651 |
| PAC ID by PECOS | 9931155033 |
| Professional Enrollment ID | I20150921002555 |
| Full Name | Katie L Kotopoulos |
| Organization Legal Name | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| Address |
4379 Ridgewood Ctr Dr Suite 102 Woodbridge VA 22192-8323 |
| Phone Number | 7036807950 |
| Gender | F |
| Credential | NP |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436258209 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490045 | NOVANT PRINCE WILLIAM MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 | 7036807950 | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| 4379 Ridgewood Ctr Dr, Woodbridge, VA 22192-8323 | 7036807950 | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah J Yuan | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Rosemary Clara Nzeogu | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Kate J Lee | Physician Assistant | Greater Prince William Area Community Health Center Inc | 17739 Main St, Dumfries, VA 22026-3251 |
| Lena N Tran | Physician Assistant | Greater Prince William Area Community Health Center Inc | 17739 Main St, Dumfries, VA 22026-3251 |
| Alma C Tobar | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Syed K Mahboob | Family Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Woodbridge, VA 22192-8323 |
| Layla Ali Abdal Hussain | Internal Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Rashid A Mohiuddin | Family Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Jean-andre Constant | Clinical Social Worker | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Jennifer Leigh Folks | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Street Address |
4379 RIDGEWOOD CTR DR SUITE 102 |
| City | WOODBRIDGE |
| State | VA |
| Zip | 22192-8323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah J Yuan | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Alma C Tobar | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Syed K Mahboob | Family Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Woodbridge, VA 22192-8323 |
| Layla Ali Abdal Hussain | Internal Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Rashid A Mohiuddin | Family Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Jean-andre Constant | Clinical Social Worker | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Anh N Pham | Physician Assistant | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter A Mendel | Family Medicine | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| John James Wierzbicki | Family Medicine | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| Julie D Oglesby | Nurse Practitioner | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| Christian Lavenia | Nurse Practitioner | Rahel G. Yirga Md PC | 12185 Clipper Dr, Lake Ridge, VA 22192-2236 |
| Phuong Xuan Mai | Internal Medicine | 12191 Clipper Dr, Lake Ridge, VA 22192-2237 | |
| Oluwaseyi Bolaji Bolorunduro | Cardiovascular Disease (cardiology) | Nova Cardiovascular Care LLC Nvcc | 1990 Old Bridge Rd, Suite 201, Woodbridge, VA 22192-2383 |
| Amy Friedenthal | Internal Medicine | 12512 D Lake Ridge Dr, Woodbridge, VA 22192-2386 | |
| Abucar A Abdulle | Internal Medicine | 12761 Darby Brook Ct, Suite 101, Woodbridge, VA 22192-2405 | |
| Jaime L Parker | Clinical Social Worker | Woodbridge Therapy Group LLC | 12721 Darby Brook Ct, Suite 102, Woodbridge, VA 22192-2408 |
| Hemini P Naik | Psychologist, Clinical | Woodbridge Therapy Group LLC | 12721 Darby Brook Ct, Suite 102, Woodbridge, VA 22192-2408 |
| Find all physicians in zip 22192 | |||
| City | WOODBRIDGE |
| Zip Code | 22192 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WOODBRIDGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Katie L Kotopoulos.
| 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.