BELITE MEDICAL CENTER (NPI# 1124407135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124407135 |
| Entity Type | Organization |
| Organization Name | BELITE MEDICAL CENTER |
| Practice Address |
3923 Old Lee Hwy 61 A Fairfax VA 22030-2428 |
| Mailing Address |
3923 Old Lee Hwy Arlington VA 22030 |
| Practice Telephone | 7033599202 |
| Mailing Telephone | 7033599202 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | MICHELLE WOLFE MAYER (NURSE PRACTITIONER) |
| Authorized Official Telephone | 2025578138 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
0017136984 | VA | Ambulatory Health Care Facilities |
| Street Address |
3923 OLD LEE HWY 61 A |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695518 | J Lawrence Jamieson | Psychologist | 3923 Old Lee Hwy, Fairfax, VA 22030-2428 | 2005-08-03 |
| 1861825317 | Thomas John Mulligan | Social Worker | 3923 Old Lee Hwy, Fairfax, VA 22030-2428 | 2013-08-19 |
| 1750558045 | Richard B Rothman | Psychiatry & Neurology | 3923 Old Lee Hwy, Suite 61a, Fairfax, VA 22030-2428 | 2008-05-15 |
| 1710198254 | Kirsten Marie Lundeberg | Counselor | 3923 Old Lee Hwy, Suite 63d, Fairfax, VA 22030-2428 | 2007-05-25 |
| 1649302142 | Nancy Wachtenheim | Specialist | 3923 Old Lee Hwy, #63-d, Fairfax, VA 22030-2428 | 2007-03-10 |
| 1255333944 | Kerry Paul Altman | Psychologist | 3923 Old Lee Hwy, Suite 63 D, Fairfax, VA 22030-2428 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1346615390 | Caring Center Pllc | Clinic/Center | 19465 Deerfield Ave Ste 410, Leesburg, VA 20176-1708 | 2015-12-02 |
| 1093148314 | Ready Set Sleep Nurse LLC | Clinic/Center | 901 E Timber Branch Pkwy, Alexandria, VA 22302-3231 | 2013-08-11 |
| 1487944070 | Prince William Chiropractic Clinic | Clinic/Center | 2026 Opitz Blvd Ste B, Woodbridge, VA 22191-3332 | 2011-04-15 |
| 1356677306 | Hwang H. Junn Md Im/geri Plc | Clinic/Center | 4216 Evergreen Lane, Suite 111, Annandale, VA 22003-3253 | 2009-10-27 |
| 1891925509 | Dulles Internal Medicine, PC | Clinic/Center | 22636 Glenn Dr Ste 101, Sterling, VA 20164-4442 | 2009-07-16 |
| 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.