NORTHERN VIRGINIA INTERNAL MEDICINE (NPI# 1134244320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134244320 |
| Entity Type | Organization |
| Organization Name | NORTHERN VIRGINIA INTERNAL MEDICINE |
| Practice Address |
8101 Hinson Farm Rd Suite 119 Alexandria VA 22306-3403 |
| Mailing Address |
8101 Hinson Farm Road Suite 119 Alexandria VA 22306 |
| Practice Telephone | 7037997300 |
| Practice Fax Number | 7037998767 |
| Mailing Telephone | 7037997300 |
| Mailing Fax Number | 7037998767 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-12-01 |
| Authorized Official Name | DR. LAURENCE J CLARK (PRESIDENT) |
| Authorized Official Telephone | 7037997300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101030440 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | PALMETTO MEDICARE RAILROAD | CC2176 | 01 |
| VA | 006086659 | 05 | |
| VA | ANTHEM BLUECROSS BLUESHIELD | 065941 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | NORTHERN VIRGINIA INTERNAL MEDICINE ASSOCIATES P.C. | 8101 Hinson Farm Rd Ste 118, Alexandria, Virginia 22306 |
| Virginia Business Entities | NORTHERN VIRGINIA INTERNAL MEDICINE CONSULTANTS PLLC | 43709 Kenmore Ln, South Riding, Virginia 20152 |
| Street Address |
8101 HINSON FARM RD SUITE 119 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495871 | Stephen W Rex | Family Medicine | 8101 Hinson Farm Rd, Ste 415, Alexandria, VA 22306-3410 | 2005-05-23 |
| 1386201234 | Ciana Puglise | Physical Therapist | 8101 Hinson Farm Rd, Alexandria, VA 22306-3403 | 2019-05-28 |
| 1720511421 | Shaima Jalala Kanak | Nurse Practitioner | 8101 Hinson Farm Rd, Suite 211, Alexandria, VA 22306-3403 | 2017-04-10 |
| 1619413713 | Michelle Lynn Nelson | Physical Therapist | 8101 Hinson Farm Rd, 401, Alexandria, VA 22306-3403 | 2017-01-12 |
| 1639629884 | Joseph William Palombo | Physical Therapist | 8101 Hinson Farm Rd, Suite 401, Alexandria, VA 22306-3403 | 2016-10-12 |
| 1942652847 | Premier Sleep Diagnostic Centers LLC | Internal Medicine | 8101 Hinson Farm Rd, Suite 202, Alexandria, VA 22306-3403 | 2016-07-05 |
| 1144684622 | Melissa Klausman | Nurse Practitioner | 8101 Hinson Farm Rd, Alexandria, VA 22306-3403 | 2016-04-11 |
| 1710352331 | Palmetto Oxygen of The Mid-atlantic, LLC | Durable Medical Equipment & Medical Supplies | 8101 Hinson Farm Rd, Suite 419, Alexandria, VA 22306-3403 | 2015-12-08 |
| 1073909263 | Alexandria Sports Inc | Clinic/Center | 8101 Hinson Farm Rd, Suite 312, Alexandria, VA 22306-3408 | 2015-04-14 |
| 1336545326 | Thomas Rammelkamp | Physical Therapist | 8101 Hinson Farm Rd, Ste 312, Alexandria, VA 22306-3403 | 2014-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| 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 |
|---|---|---|---|---|
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1063997724 | Women's Health Clinic, Inc | Specialist | 5999 Stevenson Ave Ste 403, Alexandria, VA 22304-3302 | 2018-09-28 |
| 1013458413 | Rebecca Walton | Specialist | 5936 Bangor Dr, Alexandria, VA 22303-2202 | 2017-03-17 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1861866410 | Lea Hawkins-fisher | Specialist | 1024 3rd St, Suite 203, Alexandria, LA 71301-8343 | 2015-11-19 |
| 1639581408 | Denise Lee | Specialist | 6824 Deer Run Dr, Alexandria, VA 22306-1123 | 2014-05-28 |
| 1144645912 | Iris Jones | Specialist | 3654 Government St, Suite 7, Alexandria, LA 71302-3324 | 2014-03-03 |
| 1164705539 | Madeline Carmen Hernandez | Specialist | 5838 Brookview Dr, Alexandria, VA 22310-1817 | 2011-09-22 |
| 1134434046 | Gynecare Associates | Specialist | 2807 Duke St, Alexandria, VA 22314-4512 | 2010-08-16 |
| 1962737080 | Ariel O Antezana | Specialist | 3311 Prescott Rd Ste 216, Alexandria, LA 71301-3983 | 2009-10-07 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
Please comment or provide details below to improve the information on NORTHERN VIRGINIA INTERNAL MEDICINE.
| 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.