RUTH AVIGAN MANN (NPI# 1073674594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073674594 |
| Entity Type | Individual |
| Full Name | RUTH AVIGAN MANN |
| Credential | M.D. |
| Practice Address |
11130 Sunrise Valley Dr Suite #150 Reston VA 20191-4398 |
| Practice Telephone | 7032620100 |
| Practice Fax Number | 7032620333 |
| Mailing Telephone | 7032620100 |
| Mailing Fax Number | 7032620333 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
0101037069 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447429527 | Ruth L Mann | Counselor | 3420 W Peoria Ave, Phoenix, AZ 85029-4607 | 2008-02-22 |
| 1740354141 | Ruth Marie Mann | Nurse Practitioner | 1883 Highway 43 S Ste G, Canton, MS 39046-8406 | 2006-11-17 |
| Street Address |
11130 SUNRISE VALLEY DR SUITE #150 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-4398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053413385 | Elizabeth Hamilton Sibert | Physician Assistant | 11130 Sunrise Valley Dr, #150, Reston, VA 20191-4398 | 2006-09-05 |
| 1104967678 | Gail Carome | Pediatrics | 11130 Sunrise Valley Dr, Suite 150, Reston, VA 20191-4398 | 2007-02-09 |
| 1497894893 | Reston Pediatrics Associates,ltd | Clinic/Center | 11130 Sunrise Valley Dr, Suite 150, Reston, VA 20191-4398 | 2007-02-05 |
| 1568508968 | Jocelynn Lorenzo Mayuga | Pediatrics | 11130 Sunrise Valley Dr, Suite 150, Reston, VA 20191-4398 | 2007-01-30 |
| 1558425140 | Martin Seth Forman | Pediatrics | 11130 Sunrise Valley Dr, Reston, VA 20191-4398 | 2006-12-20 |
| 1265591127 | Judit Sivo | Pediatrics | 11130 Sunrise Valley Dr, Suite 150, Reston, VA 20191-4398 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841494796 | Pediatric Physicians of Reston, PC | Pediatrics | 1830 Town Center Dr, Suite # 205, Reston, VA 20190-3292 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164869020 | Kyzwana N Caves | Pediatrics | 301 Riverview Ave Ste 3, Norfolk, VA 23510-1065 | 2013-05-31 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1013042480 | Privia Medical Group, LLC | Pediatrics | 950 N Glebe Rd, Suite 4000, Arlington, VA 22203-1824 | 2007-02-23 |
| 1821133489 | John Stephen Zachary | Pediatrics | 1521 Huguenot Rd, Suite 101, Midlothian, VA 23113-2426 | 2007-02-21 |
| 1831246891 | William J. Mcaveney | Pediatrics | 221 Randolph St, Mineral, VA 23117-4493 | 2007-01-04 |
| 1619071149 | Irene Townsend | Pediatrics | 3605 Ferncliff Ave Nw, Roanoke, VA 24017-1411 | 2006-09-13 |
| 1447352018 | Richard Vichitr Chusuei | Pediatrics | 8373a Greensboro Dr, Mclean, VA 22102-3529 | 2006-09-02 |
| 1821105412 | Chang-kai Lilly Liu | Pediatrics | 8377a Greensboro Drive, Mclean, VA 22102-3529 | 2006-08-23 |
| 1356457774 | Patty Anne Chitwood | Pediatrics | Schiffert Health Center-virginia Tech, Nccomas Hall, Blacksburg, VA 24060 | 2006-08-21 |
| 1174637888 | Yasmin K. Anez | Pediatrics | 8365a Greensboro Dr, Mclean, VA 22102-3530 | 2006-08-18 |
| 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.