IMC GROUP INC (NPI# 1073920534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073920534 |
| Entity Type | Organization |
| Organization Name | IMC GROUP INC |
| Practice Address |
7535 Little River Tpke Suite 100c Annandale VA 22003-2937 |
| Mailing Address |
63 E Main St Suite 6 Westminster MD 21157-5036 |
| Practice Telephone | 7036421004 |
| Practice Fax Number | 7036423232 |
| Mailing Telephone | 4108488202 |
| Mailing Fax Number | 4108482644 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | MS. EUN H LEE (PRESIDENT) |
| Authorized Official Telephone | 7036421004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | IMC GROUP INC. | 4306 Evergreen Ln, Unit 104, Annandale, Virginia 22003 |
| Street Address |
7535 LITTLE RIVER TPKE SUITE 100C |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487756441 | Jae Kwon Bok | Dentist | 7535 Little River Tpke, # 100 E, Annandale, VA 22003-2937 | 2006-09-01 |
| 1609311166 | Dwight Kim | Acupuncturist | 7535 Little River Tpke, 103a, Annandale, VA 22003-2937 | 2016-12-19 |
| 1760882013 | Ace Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7535 Little River Tpke, #100 C, Annandale, VA 22003-2937 | 2014-08-23 |
| 1679985816 | Potomac Pain and Wellness Center Inc | Clinic/Center | 7535 Little River Tpke, Suite 100c, Annandale, VA 22003-2937 | 2014-05-22 |
| 1164841045 | Rebecca Cho | Registered Nurse | 7535 Little River Tpke, #310-a, Annandale, VA 22003-2937 | 2014-04-08 |
| 1932524378 | Acolytes Home Health Care,llc | Home Health | 7535 Little River Tpke, Annandale, VA 22003-2937 | 2014-02-21 |
| 1437438918 | Crosspoint Dental Care PC | Dentist | 7535 Little River Tpke, Suite 310-c, Annandale, VA 22003-2937 | 2011-08-15 |
| 1508162462 | Aurea B Sanzetenea | Nurse Practitioner | 7535 Little River Tpke, Suite 100 A,b,c, Annandale, VA 22003-2937 | 2011-02-09 |
| 1164692448 | Jae Kwon Bok Dds PC | Dentist | 7535 Little River Tpke, 100-e, Annandale, VA 22003-2937 | 2008-03-03 |
| 1043490444 | Soo Rhee | Acupuncturist | 7535 Little River Tpke, Suite 210a, Annandale, VA 22003-2937 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| 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 |
|---|---|---|---|---|
| 1144704040 | Bao Dinh Do PC | Internal Medicine | 3301 Woodburn Rd Ste 311, Annandale, VA 22003-1229 | 2018-09-18 |
| 1205320116 | Sonia Ayisi Johnson | Internal Medicine | 6715 Little River Tpke Ste 205, Annandale, VA 22003-3546 | 2018-06-15 |
| 1497013528 | Connie D.le, M.d., PC. | Internal Medicine | 4208 Evergreen Lane #214, Annandale, VA 22003 | 2012-04-26 |
| 1295025021 | Internal Medicine Practice for Weight Loss and Smokers PC | Internal Medicine | 7501 Little River Tpke Ste 103, Annandale, VA 22003-2923 | 2011-04-13 |
| 1184876849 | Bharatkumar R Patel | Internal Medicine | 31 Petticoat Ln, Annandale, NJ 08801-3039 | 2008-10-14 |
| 1235395583 | Rachana Potru | Internal Medicine | 3299 Woodburn Rd Ste 220, Annandale, VA 22003-7318 | 2008-08-05 |
| 1952517971 | Tony Yu Lea Hsiao | Internal Medicine | 7507 Little River Turnpike, #103, Annandale, VA 22003 | 2007-05-15 |
| 1508982414 | Martha Marie Maturi | Internal Medicine | 7601 Little River Tpke, Suite 100, Annandale, VA 22003-2601 | 2007-03-22 |
| 1659424836 | Phong Dong Nguyen | Internal Medicine | 6800 Little River Turnpike, Annandale, VA 22003 | 2007-01-19 |
| 1891886909 | Khanh Diem Le | Internal Medicine | 4208 Evergreen Ln Ste 214, Annandale, VA 22003-3254 | 2006-09-27 |
| Find all providers in ANNANDALE | ||||
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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.