MORTEZA S. MOUSAVI, M.D., P.C. (NPI# 1063734820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063734820 |
| Entity Type | Organization |
| Organization Name | MORTEZA S. MOUSAVI, M.D., P.C. |
| Practice Address |
2296 Opitz Blvd Suite 340 Woodbridge VA 22191-3300 |
| Mailing Address |
2296 Opitz Blvd. Suite 340 Woodbridge VA 22191-3346 |
| Practice Telephone | 7038780941 |
| Practice Fax Number | 7038780857 |
| Mailing Telephone | 7038780941 |
| Mailing Fax Number | 7038780857 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-04-01 |
| Authorized Official Name | DR. MORTEZA S. MOUSAVI (OWNER) |
| Authorized Official Telephone | 7038780941 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101033951 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006033989 | 05 |
| Street Address |
2296 OPITZ BLVD SUITE 340 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254263 | Robert A Sikora Jr. | Allergy & Immunology | 2296 Opitz Blvd, Ste 401, Woodbridge, VA 22191-3347 | 2005-06-09 |
| 1730536921 | Janet O'connor | General Practice | 2296 Opitz Blvd, #255, Woodbridge, VA 22191-3300 | 2016-05-18 |
| 1134545775 | Sentara Medical Group | Psychiatry & Neurology | 2296 Opitz Blvd, Ste 290, Woodbridge, VA 22191-3300 | 2014-03-06 |
| 1093075319 | Sentara Medical Group | Surgery | 2296 Opitz Blvd, Ste 260a, Woodbridge, VA 22191-3300 | 2012-05-21 |
| 1740561471 | Andrew V. Kriegel, Md, LLC | Plastic Surgery | 2296 Opitz Blvd, Suite 210, Woodbridge, VA 22191-3300 | 2011-09-08 |
| 1588896625 | Jennifer Leigh Folks | Nurse Practitioner | 2296 Opitz Blvd, #440, Woodbridge, VA 22191-3300 | 2009-08-21 |
| 1003051897 | Potomac Pediatrics, P.C. | Clinic/Center | 2296 Opitz Blvd, Suite 510, Woodbridge, VA 22191-3300 | 2008-12-08 |
| 1861657488 | Nilay Gandhi | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2008-07-23 |
| 1528229622 | Steven Nakao | Surgery | 2296 Opitz Blvd, Ste 260, Woodbridge, VA 22191-3300 | 2008-06-20 |
| 1194982819 | Potomac Ophthalmology PC | Ophthalmology | 2296 Opitz Blvd, Suite 410, Woodbridge, VA 22191-3300 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325156 | Tiffany Kay Grinstead | Specialist | 3815 Marquis Pl, Woodbridge, VA 22192-6228 | 2018-05-07 |
| 1003271214 | Parth Patel | Specialist | 581 Main Street, Woodbridge, NJ 07095 | 2015-12-15 |
| 1184002263 | Sanctus | Specialist | 1372 Old Bridge Rd # 102, Woodbridge, VA 22192-2708 | 2015-05-11 |
| 1740667666 | Family Psychiatric Associates | Specialist | 4349 Ridgewood Center Drive, Suite 101, Woodbridge, VA 22192 | 2015-04-29 |
| 1265867675 | Megan D Galleron | Specialist | 4151 Old Bridge Rd, Woodbridge, VA 22192-7669 | 2013-09-05 |
| 1871938316 | Stephen Lawrence Ferlazzo | Specialist | 13208 Barrister Pl, Woodbridge, VA 22192-4804 | 2013-05-09 |
| 1447592613 | Janice Myra Wolfe | Specialist | 1372 Old Bridge Rd, Suite 102, Woodbridge, VA 22192-2708 | 2013-03-26 |
| 1720330277 | Pediatric Achievements, LLC | Specialist | 2235 Tacketts Mill Dr Ste C, Woodbridge, VA 22192-3036 | 2012-10-09 |
| 1952561532 | Kristy A Blair | Specialist | 16004 Normandy Ct, Woodbridge, VA 22191-4321 | 2008-06-17 |
| 1194995605 | Nika Jani | Specialist | 13895 Hedgewood Dr, Suite 101, Woodbridge, VA 22193-7924 | 2008-03-11 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
Please comment or provide details below to improve the information on MORTEZA S. MOUSAVI, M.D., P.C..
| 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.