BEN W KITTREDGE (NPI# 1134147978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134147978 |
| Entity Type | Individual |
| Full Name | BEN W KITTREDGE |
| Credential | MD |
| Practice Address |
6355 Walker Lane Suite 202 Alexandria VA 22310-3257 |
| Mailing Address |
Po Box 75868 Baltimore MD 21275-5868 |
| Practice Telephone | 7038105210 |
| Practice Fax Number | 7038105418 |
| Mailing Telephone | 7033836469 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | D51741 | MD | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 0101055642 | VA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
D51741 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CONTROLLED SUBSTANCE LICENSE | M77089 | 01 |
| VA | 6408028 | 05 | |
| MD | MARYLAND MEDICAL LICENSE | D51741 | 01 |
| MD | MARYLAND DEA LICENSE | FK3672436 | 01 |
| Street Address |
6355 WALKER LANE SUITE 202 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22310-3257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457316101 | Samantha W Ahdoot | Pediatrics | 6355 Walker Lane, Suite 401, Alexandria, VA 22310 | 2006-04-18 |
| 1083178099 | Mimi Hoang Phan | Nurse Practitioner | 6355 Walker Lane, 505, Alexandria, VA 22310-3251 | 2019-01-23 |
| 1265981716 | Alexandra Bingnear | Nurse Practitioner | 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 | 2016-09-26 |
| 1609253236 | National Rehabilitation Hospital, Inc. | Occupational Therapist | 6355 Walker Lane, Suite 512, Alexandria, VA 22310 | 2015-05-04 |
| 1720497068 | Rebecca Rebholz | Physical Therapist | 6355 Walker Lane, Suite 512, Alexandria, VA 22310 | 2014-08-12 |
| 1730592932 | Jesse Kimball | Physician Assistant | 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 | 2014-06-04 |
| 1275974297 | Virginia Center for Plastic Surgery | Specialist | 6355 Walker Lane, Suite 510, Alexandria, VA 22310 | 2013-07-08 |
| 1750630075 | Samantha Hope Fierro | Clinic/Center | 6355 Walker Lane, Suite 404, Alexandria, VA 22310 | 2012-08-31 |
| 1992016182 | Heather Clark Drayton | Occupational Therapist | 6355 Walker Lane, Alexandria, VA 22304-3245 | 2010-06-23 |
| 1750524898 | Eva Umoh Asomugha | Orthopaedic Surgery | 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 | 2009-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389732 | Katarzyna Piwek | Behavior Technician | 6281 Franconia Road, Suite B, Alexandria, VA 22310 | 2019-08-01 |
| 1073011672 | Roberto Arturo Hernandez Zapata | Dentist | Avenida Paseo De Los Heroes 9333-4, Tijuana, BAJA CALIFORNIA 22310 | 2018-01-29 |
| 1336542042 | Franconia Pediatrics Associates | Clinic/Center | 6078 Franconia Road Ste A/b, Alexandria, VA 22310 | 2014-10-08 |
| 1548663347 | Eric Mestas Dds PC | Clinic/Center | 5115 Franconia Rd Ste -d, Alexandria, VA 22310 | 2014-10-07 |
| 1982036331 | Meike Nadine Marshall | Physical Therapist | 6355 Walker Ln Ste 404, Alexandria, VA 22310 | 2013-08-07 |
| 1649448093 | Manchester Lakes Medical | Internal Medicine | 7015 E Manchester Blvd, Alexandria, VA 22310 | 2008-02-19 |
| 1629250311 | Kingstowne Dental Care PC | Dentist | 7015 A Macnhester Blvd, Alexandria, VA 22310 | 2007-12-04 |
| 1881890648 | Neal Kevin Maru | Psychiatry & Neurology | 6355 Walker Lane, 313, Alexandria, VA 22310 | 2007-06-26 |
| 1518188259 | Hospital Mexico | General Acute Care Hospital | Avenida De La Amistad 9077, Colonia Federal, Tijuana, BAJA CALIFORNIA 22310 | 2007-05-01 |
| 1114078185 | Melissa Jean Arnold | Counselor | 6015 Bushhill Dr, Alexandria, VA 22310 | 2007-01-16 |
| Find all providers in zip 22310 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730636861 | Mid State Orthopaedics & Sports Medicine Center LLC | Orthopaedic Surgery | 224 Pecan Park, Suite F, Alexandria, LA 71302 | 2016-09-07 |
| 1437570975 | Joel Gregory Goldman | Orthopaedic Surgery | 2047 Blunt Lane, Alexandria, VA 22303 | 2013-12-31 |
| 1851658603 | Washington Orthopaedic Center LLC | Orthopaedic Surgery | 417 N Washington St, Alexandria, VA 22314-2311 | 2012-04-18 |
| 1306112743 | Daniel Philip Deasis | Orthopaedic Surgery | 201 4th St Ste 1d, Alexandria, LA 71301 | 2012-03-29 |
| 1235404252 | Cedric Warren Lowrey | Orthopaedic Surgery | 4506 Wellington Blvd, Alexandria, LA 71303-2513 | 2012-03-09 |
| 1649436254 | Craig Joseph Mcasey | Orthopaedic Surgery | 2501 Parkers Ln Ste 200, Alexandria, VA 22306-3209 | 2008-08-03 |
| 1013119007 | Terence James Kennedy | Orthopaedic Surgery | 733 W Latoka Dr Sw, Alexandria, MN 56308-9376 | 2007-06-03 |
| 1114063435 | Brian O Stephens | Orthopaedic Surgery | 106 N Lee St Ste 200, Alexandria, VA 22314 | 2007-01-30 |
| 1386667350 | Orthovirginia, Inc | Orthopaedic Surgery | 2805 Duke St, Alexandria, VA 22314-4512 | 2006-07-25 |
| 1821062670 | Michael Elden Brunet | Orthopaedic Surgery | 3351 Masonic Dr, Alexandria, LA 71301-3842 | 2006-02-16 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22310 |
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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.