PEGAH IZADPANAH (NPI# 1104381060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104381060 |
| Entity Type | Individual |
| Full Name | PEGAH IZADPANAH |
| Credential | PA-C |
| Practice Address |
2755 Hartland Rd Ste 300 Falls Church VA 22043-3545 |
| Practice Telephone | 7035448971 |
| Mailing Telephone | 7035448971 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110-006553 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2755 HARTLAND RD STE 300 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22043-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720504244 | Dominion Surgical Specialists, LLC | Surgery | 2755 Hartland Rd Ste 300, Falls Church, VA 22043-3545 | 2017-08-16 |
| 1538685979 | Dominion Surgical Associates, LLC | Surgery | 2755 Hartland Rd Ste 300, Falls Church, VA 22043-3545 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472051 | All Secured Home Health Services LLC | Respite Care | All Secured Home Health Services LLC, 7777 Leesburg Pike, Suite 416n, Falls Church, VA 22043 | 2018-10-04 |
| 1437674546 | Archana Vuppala | Behavioral Analyst | 7600 Leesburg Pike Ste 105, Falls Church, VA 22043 | 2017-08-09 |
| 1407398670 | Daniel O. Sotelo Cruz | Dentist | Cuahutemoc Sur 3628, Col Chula Vista, Tijuana, BAJA CALIFORNIA 22043 | 2016-11-04 |
| 1417403767 | Super Smile Center of Tysons | Dentist | 7115 Leesbug Pike, #216, Falls Church, VA 22043 | 2016-08-28 |
| 1366876856 | Tysons Dental Care Pllc | Dentist | 7787 Leesburg Pike #2, Falls Church, VA 22043 | 2013-09-03 |
| 1326388992 | Coviello Oral Surgery PC | Dentist | 2843 Hartland Rd., Suite 150, Falls Church, VA 22043 | 2013-02-19 |
| 1295071561 | Essence of Acupuncture LLC | Acupuncturist | 2273 Kings Garden Way, Falls Church, VA 22043 | 2012-12-14 |
| 1285980292 | James Spengler | Specialist/Technologist | 7743 Virginia 7, Falls Church, VA 22043 | 2012-07-27 |
| 1316267909 | Mehrnush Mohebi | Counselor | 7777 Leesburg Pike Ste 102n, Falls Church, VA 22043 | 2010-06-04 |
| 1689823957 | Jesus Jimenez Gonzalez | General Practice | 2891 Hartland Rd #207, Braner Clinics, Falls Church, VA 22043 | 2008-09-11 |
| Find all providers in zip 22043 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144409103 | Jennifer R Archibald | Physician Assistant | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2007-10-26 |
| 1659889228 | Kirby Holland | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2018-01-17 |
| 1023472396 | Carrie I Thomas | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2016-04-12 |
| 1881034213 | Bernarda Gallagher | Physician Assistant | 8116 Arlington Blvd, Ste #117, Falls Church, VA 22042-1002 | 2013-06-29 |
| 1851640171 | Brian Onuscheck | Physician Assistant | 8116 Arlington Blvd, Ste #117, Falls Church, VA 22042-1002 | 2012-08-31 |
| 1992080048 | Nathaniel Brian Schaefer | Physician Assistant | 2922 Telestar Ct, Falls Church, VA 22042-1206 | 2011-10-19 |
| 1164723524 | Daniel Fernando Naranjo | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2010-11-16 |
| 1114250842 | Erick Black | Physician Assistant | 8116 Arlington Blvd Ste 117, Falls Church, VA 22042-1002 | 2009-09-14 |
| 1053541607 | Iyla Tikhonov | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2009-07-16 |
| 1396986923 | Charles Robinson | Physician Assistant | 8116 Arlington Blvd Ste 122, Falls Church, VA 22042-1002 | 2009-03-11 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22043 |
Please comment or provide details below to improve the information on PEGAH IZADPANAH.
| 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.