ELIZABETH JOAN DWYER


Address: 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031
Phone: 7038762788

ELIZABETH JOAN DWYER (NPI# 1013493451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013493451
Entity Type Individual
Full Name ELIZABETH JOAN DWYER
Other Name ELIZABETH MYSHRAIL
Credential PA-C
Practice Address 3023 Hamaker Ct.
Suite 500
Fairfax
VA 22031
Practice Telephone 7038762788
Practice Fax Number 5717663189
Mailing Telephone 7038762788
Mailing Fax Number 5717663189
Enumeration Date 2018-07-18
Last Update Date 2019-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
0110006146 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA DEA NUMBER MM4879550 01

Other Providers ELIZABETH DWYER

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1013970268 Elizabeth Dwyer Occupational Therapist 400 Holland Ave, Braddock, PA 15104-1599 2006-04-10

Office Location

Street Address 3023 HAMAKER CT.
SUITE 500
City FAIRFAX
State VA
Zip Code 22031

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396366555 Sheelon Aghili Physician Assistant 5801 Hampton Forest Way, Fairfax, VA 22030-7254 2020-04-29
1114327087 Bach-duong Dinh Physician Assistant 8316 Arlington Blvd Ste 401, Fairfax, VA 22031-5216 2014-08-28
1760633283 Xyz Clinic Physician Assistant 17000 Breeze Lane, Fairfax, VA 22033 2008-10-02
1184810574 Elizabeth Colella Johnson Physician Assistant 3022 Williams Dr #300, Fairfax, VA 22031 2007-09-19
1548322159 Tsion Tewolde Physician Assistant 3600 Joseph Siewick, Drivefair Oaks Hospitalist Group, Fairfax, VA 22033 2006-12-14
1841307956 Danielle M Landzinski Physician Assistant 10615 Judicial Dr Ste 401, Fairfax, VA 22030-7501 2006-08-24
1902873565 Danielle Ali Layton Physician Assistant 3028 Javier Rd, Suite 300, Fairfax, VA 22031-4622 2006-03-02
1215437413 Caitlin Noelle Fortune Physician Assistant 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 2018-02-15
1396270310 Jessica Nicole Ortega Physician Assistant 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 2017-04-27
1295116952 Faith Saunders Physician Assistant 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 2015-06-17
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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