BLUE NILE MEDICAL CENTER PC (NPI# 1073544656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073544656 |
| Entity Type | Organization |
| Organization Name | BLUE NILE MEDICAL CENTER PC |
| Practice Address |
85 S Bragg St Suite 100 Alexandria VA 22312-2797 |
| Practice Telephone | 7038450700 |
| Practice Fax Number | 7037942269 |
| Mailing Telephone | 7038450700 |
| Mailing Fax Number | 7037942269 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-12-06 |
| Authorized Official Name | TEDLA ANBESSIE (PHYSICIAN) |
| Authorized Official Telephone | 7038450700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
85 S BRAGG ST SUITE 100 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22312-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225561871 | Bakerson Hatton LLC | Durable Medical Equipment & Medical Supplies | 85 S Bragg St, 102g, Alexandria, VA 22312-2797 | 2017-04-10 |
| 1205202470 | Axon Physical Therapy Clinic, LLC | Specialist | 85 S Bragg St, Suite 504, Alexandria, VA 22312-2797 | 2015-08-11 |
| 1033542790 | Bestchoice Home Healthcare, LLC | Home Health | 85 S Bragg St, Suite 502, Alexandria, VA 22312-2797 | 2013-08-17 |
| 1871861989 | Global Eye Physicians and Surgeons, Pllc | Clinic/Center | 85 S Bragg St, Suite 101, Alexandria, VA 22312-2797 | 2011-12-03 |
| 1174847685 | Tofik Mohammed Ali | Ophthalmology | 85 S Bragg St, Suite 101, Alexandria, VA 22312-2797 | 2010-03-26 |
| 1851302012 | Tesfaye Hailemariam | Dentist | 85 S Bragg St, Suite 300, Alexandria, VA 22312-2797 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710429 | Lake Barcroft Dental Group, PC | Dentist | 6464 A1 Lincolnia Rd, Alexandria, VA 22312 | 2019-10-02 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1285081984 | Nicole Heidbreder Lehr | Behavioral Analyst | 5400 Shawnee Rd Ste 208, Alexandria, VA 22312 | 2016-05-23 |
| 1922486372 | Fassity Home Care LLC | Home Health | 6601 Little River Turn Pike, Suit 210, Alexandria, VA 22312 | 2015-05-18 |
| 1730582107 | Prospect Homecare Agency | Home Health | 5568 General Washington Drive, Suite A 203, Alexandria, VA 22312 | 2014-09-30 |
| 1396926952 | Fairfax Home Health Care, Inc. | Home Health | 4810 Beauregard Street, Suite G4, Alexandria, VA 22312 | 2007-11-23 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1548339682 | Virginia Pathology Svcs PC | Pathology | 6121 Lincolnia Rd, Suite 108, Alexandria, VA 22312 | 2006-11-06 |
| 1336150531 | Joel Carlton Goldstein | Dentist | 4605 B Pinecrest Office Park Dr, Alexandria, VA 22312 | 2006-08-11 |
| 1619915923 | Jong K Lee | Family Medicine | 4605 A Pinecrest Office, Alexandria, VA 22312 | 2006-06-02 |
| Find all providers in zip 22312 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277396 | Amm Consulting Inc | Internal Medicine | 6123 Stegen Dr, Alexandria, VA 22310-2277 | 2020-08-31 |
| 1750814109 | Ajita Acharya | Internal Medicine | 1800 N Beauregard St Ste 100, Alexandria, VA 22311-1726 | 2017-04-04 |
| 1689121709 | Mid Atlantic Medical Management, LLC | Internal Medicine | 5904 Old Richmond Highway, Suite 515, Alexandria, VA 22303 | 2016-09-07 |
| 1447649462 | Metro Medical Services, LLC | Internal Medicine | 6179 Grovedale Ct Ste 100, Alexandria, VA 22310-2553 | 2015-01-14 |
| 1225438385 | Globa'll Primary Care & Internal Medicine, P.C. | Internal Medicine | 50 Pickett Street, Suite 221, Alexandria, VA 22304-4708 | 2014-08-26 |
| 1982014171 | Sara Wasim | Internal Medicine | 1600 N Beauregard St Ste 300, Alexandria, VA 22311-1732 | 2014-04-28 |
| 1811239627 | Capital Healthcare PC | Internal Medicine | 6020 Richmond Hwy Ste 102, Alexandria, VA 22303-2157 | 2013-03-19 |
| 1558624619 | Yonis B Geberemariam | Internal Medicine | 5375 Duke St Apt 1103, Alexandria, VA 22304-3018 | 2012-06-22 |
| 1639439334 | Sharmila P Dhulipalla | Internal Medicine | 100 S Van Dorn St, Apt C-219, Alexandria, VA 22304-4341 | 2012-05-29 |
| 1821377458 | Werksew Tesfaye Turi | Internal Medicine | 750 Port St Apt 706, Alexandria, VA 22314-2485 | 2011-08-14 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22312 |
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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.