SANJEEV M. WASAN, M.D., PLC (NPI# 1114198033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114198033 |
| Entity Type | Organization |
| Organization Name | SANJEEV M. WASAN, M.D., PLC |
| Other Organization Name | GASTROENTEROLOGY AND HEPATOLOGY CENTER |
| Practice Address |
46090 Lake Center Plz Suite 201 Potomac Falls VA 20165-5876 |
| Practice Telephone | 7034449502 |
| Practice Fax Number | 7034449521 |
| Mailing Telephone | 7034449502 |
| Mailing Fax Number | 7034449521 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | DR. SANJEEV M. WASAN (OWNER) |
| Authorized Official Telephone | 7034449502 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101237806 | VA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Gastroenterology and Hepatology Center | Doing Business As Name - Organization |
| Street Address |
46090 LAKE CENTER PLZ SUITE 201 |
| City | POTOMAC FALLS |
| State | VA |
| Zip Code | 20165-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730116575 | Alok Rustogi | Internal Medicine | 46090 Lake Center Plz, 201, Potomac Falls, VA 20165-5876 | 2006-06-27 |
| 1669931069 | Ifeoma Elizabeth Ilodianya | Nurse Practitioner | 46090 Lake Center Plz, Potomac Falls, VA 20165-5876 | 2019-03-15 |
| 1922272962 | Dr. Amear M. Tadros, Dmd, PC | Dentist | 46090 Lake Center Plz, Suite 202, Potomac Falls, VA 20165-5876 | 2008-04-22 |
| 1679599484 | Amear Mahrous Tadros | Dentist | 46090 Lake Center Plz, Suite 202, Potomac Falls, VA 20165-5876 | 2006-07-14 |
| 1669403051 | Internal Medicine Practice Associates PC | Internal Medicine | 46090 Lake Center Plz, 201, Potomac Falls, VA 20165-5876 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1336668573 | Jennifer Beatriz Henriquez | Student in an Organized Health Care Education/Training Program | 88 Bickel Ct, Sterling, VA 20165 | 2017-09-19 |
| 1134648413 | Alannah Angels Care, LLC | Home Health | 47672 Comer Sq, Sterling, VA 20165 | 2017-09-18 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1629465299 | The Key Center of Florida | Health Maintenance Organization | 21155 Whitfield Pl 206, Sterling, VA 20165 | 2015-04-22 |
| 1740679265 | Shahla Zamani | Pharmacist | 46380 Monocacy Square, Potomac Falls, VA 20165 | 2015-01-21 |
| 1598006785 | Jeanine Marie Burke | Physical Therapist | 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 | 2013-03-13 |
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| Find all providers in zip 20165 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| 1073738142 | Daniel Davis Maxwell | Specialist | 20265 Water Mark Pl, Potomac Falls, VA 20165-5134 | 2007-04-16 |
| 1205102563 | Adams Smile Center | Specialist | 46161 Westlake Dr Ste 220, Potomac Falls, VA 20165-5871 | 2012-03-30 |
| 1043452675 | Blmd of Loudoun, Inc. | Specialist | 46165 Westlake Dr, 100, Potomac Falls, VA 20165-5872 | 2009-03-27 |
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|---|---|---|---|---|
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| 1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
| 1093338915 | Bridget Elizabeth Poindexter | Specialist | 103 Madison St Apt C, Radford, VA 24141-1878 | 2020-05-27 |
| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1427670538 | Megan Cone | Specialist | 6236 Willow Glen Rd, Midlothian, VA 23112-2230 | 2020-05-12 |
| 1033739529 | Maureen Marguerite Loftus | Specialist | 8321 Old Courthouse Rd Ste 130, Vienna, VA 22182-3817 | 2020-04-24 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
| 1699307520 | Latia Tisdale | Specialist | 2520 Professional Rd Ste D, North Chesterfield, VA 23235-3267 | 2020-02-08 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | POTOMAC FALLS |
| Zip Code | 20165 |
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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.