JOEL W. MATCH, MD. PC (NPI# 1124043377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124043377 |
| Entity Type | Organization |
| Organization Name | JOEL W. MATCH, MD. PC |
| Practice Address |
1850 Town Center Pkwy Suite 207 Reston VA 20190-3219 |
| Mailing Address |
1850 Town Center Pkwy #207 Reston VA 20190-3219 |
| Practice Telephone | 7035877222 |
| Mailing Telephone | 7035877222 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | DR. JOEL W. MATCH (PRESIDENT) |
| Authorized Official Telephone | 7035877222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
0101040957 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1850 TOWN CENTER PKWY SUITE 207 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646420 | Robert A. Shor | Internal Medicine | 1850 Town Center Pkwy, Ste 550, Reston, VA 20190-3219 | 2005-06-01 |
| 1295357507 | Karina Manicka | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2020-05-08 |
| 1134777964 | Sharon Kim | Nurse Practitioner | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2019-08-26 |
| 1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
| 1437656014 | Rithika Mohan | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190 | 2018-04-10 |
| 1447753223 | Cara Elizabeth Butler | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-03-17 |
| 1669974101 | Rachel Ellenbogen | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2018-02-28 |
| 1669972626 | Meghan Squier | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-02-16 |
| 1316470198 | Dana Alsaadi | Internal Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3298 | 2017-04-07 |
| 1548617863 | Reston Hospital Center, LLC | Radiologic Technologist | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2016-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972809960 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 311, Reston, VA 20190-3215 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530435 | Center for Endometriosis and Advanced Pelvic Surgery | Obstetrics & Gynecology | 6801 Whittier Ave Ste 301, Mc Lean, VA 22101-4549 | 2020-05-20 |
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| 1285093070 | Loudoun Medical Group PC | Obstetrics & Gynecology | 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 | 2016-02-22 |
| 1730589458 | Drs Moore & Stockstill PC | Obstetrics & Gynecology | 5104 Bernard Dr, Suite 301, Roanoke, VA 24018-4349 | 2014-08-29 |
| 1649694993 | Carol Ciofalo | Obstetrics & Gynecology | 5209 11th Rd N, Arlington, VA 22205-2424 | 2014-02-06 |
| 1063754554 | Westhampton Health and Wellness LLC | Obstetrics & Gynecology | 2000 Bremo Rd # 205a, Richmond, VA 23226-2440 | 2013-03-22 |
| 1316212889 | Lisa Ruth Himmelstein | Obstetrics & Gynecology | 2515 Londonderry Rd, Alexandria, VA 22308-2332 | 2012-03-17 |
| 1265700769 | Jerome Frank Strauss IIi | Obstetrics & Gynecology | 2805 Monument Ave Apt 3, Richmond, VA 23221-1737 | 2011-12-12 |
| 1548592397 | Womens Health and Wellness LLC | Obstetrics & Gynecology | 6506 Main St, Gloucester, VA 23061-6103 | 2010-02-04 |
| 1467686907 | Millennium Gynecology P.l.l.c. | Obstetrics & Gynecology | 3359 Roundtree Estates Ct, Falls Church, VA 22042-3550 | 2009-05-12 |
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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.