AYESHA SULTAN DDS PC (NPI# 1063799765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063799765 |
| Entity Type | Organization |
| Organization Name | AYESHA SULTAN DDS PC |
| Practice Address |
6312 Hoadly Rd Manassas VA 20112-3422 |
| Mailing Address |
14260 Holly Glen Ct Manassas VA 20112-7011 |
| Practice Telephone | 7032209984 |
| Mailing Telephone | 7032209984 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | DR. AYESHA SULTAN (DENTIST) |
| Authorized Official Telephone | 7032209984 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 0401412555 | VA | Managed Care Organizations |
| Street Address |
6312 HOADLY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20112-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093090516 | Ayesha Sultan | Dentist | 6312 Hoadly Rd, Manassas, VA 20112-3422 | 2011-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1023510500 | Brooke Newman | Speech-Language Pathologist | 14715 Bristow Road, Manassas, VA 20112 | 2018-03-01 |
| 1174837165 | Carol M Cantello | Occupational Therapist | 12676 Cobblestone Ct, Manassas, VA 20112 | 2010-08-02 |
| 1245429935 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6360 Hoadly Rd, Manassas, VA 20112 | 2007-10-18 |
| 1780765982 | Cheryl Lynn Toulouse | Nurse Practitioner | Endocrine and Diabetes Center, 2200 Opitz Blvd, Suite 250, Woodbridge, VA 20112 | 2006-10-17 |
| 1295224889 | Priscilla Amfo | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2018-05-09 |
| 1548627797 | Dawnita Truitt-calderone | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112 | 2016-01-19 |
| 1275998486 | Courtney Harless | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2015-12-15 |
| 1205106069 | Andre Delray Route | Home Health Aide | 7600 Georgia Ave, Premier Health Services, Suite 323, Washington, DC 20112 | 2012-01-10 |
| 1548369390 | Mark A Bodwalk | Counselor | 6922 Newman Rd, Clifton, VA 20112-1613 | 2006-09-21 |
| Find all providers in zip 20112 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992079404 | Gilbert R. Irwin, M.d.p.c | Preferred Provider Organization | 9590 Surveyor Court, Manassas, VA 20110-4406 | 2012-03-01 |
| 1487821427 | Ruby Ann E Bisson, Dmd, PC | Preferred Provider Organization | 10670 Crestwood Dr Ste B, Manassas, VA 20109-4408 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003381310 | Audrey R. Townes | Preferred Provider Organization | 837 Azalea Ave, Richmond, VA 23227-3512 | 2018-10-12 |
| 1043717457 | Chesapeake Family and Implant Dentistry LLC | Preferred Provider Organization | Chesapeake Family and Implant Dentistry, 516 Innovation Dr. Suite 302, Chesapeake, VA 23320 | 2018-04-11 |
| 1376078105 | Bella Family Home Health Care Inc | Preferred Provider Organization | 5827 Columbia Pike Ste 316, Falls Church, VA 22041-2036 | 2017-04-30 |
| 1245763366 | Living Made Easy | Preferred Provider Organization | 328 Peninsular St, Lynchburg, VA 24501-1420 | 2017-04-05 |
| 1225575830 | Gentle Touch Home Health Care | Preferred Provider Organization | 3421 Vimy Ridge Ave, Norfolk, VA 23509-2041 | 2017-01-22 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1962853036 | James D. Cahn, Dds, P.C. | Preferred Provider Organization | 5225 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2620 | 2016-06-29 |
| 1780045849 | Ideal Dental Care, Inc | Preferred Provider Organization | 8111 Midlothian Tpke, North Chesterfield, VA 23235-5115 | 2016-03-16 |
| 1063871309 | Childlike Faith Services, LLC | Preferred Provider Organization | 12417 Branner Way, 103, Chester, VA 23836-2807 | 2016-02-15 |
| 1366815532 | Graceful Hands | Preferred Provider Organization | 18874 Christanna Hwy, Lawrenceville, VA 23868-2603 | 2015-11-10 |
| Find all providers with the same taxonomy | ||||
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| 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.