EXCEL MEDICAL CLINIC, INC. (NPI# 1164858205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164858205 |
| Entity Type | Organization |
| Organization Name | EXCEL MEDICAL CLINIC, INC. |
| Practice Address |
14904 Jefferson Davis Hwy Suite 205 Woodbridge VA 22191-3908 |
| Practice Telephone | 7034974500 |
| Practice Fax Number | 7034944671 |
| Mailing Telephone | 7034974500 |
| Mailing Fax Number | 7034944671 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | SHRIHARSH LAXMAN POLE (PRESIDENT) |
| Authorized Official Telephone | 7034974500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0024166397 | VA | Ambulatory Health Care Facilities |
| Street Address |
14904 JEFFERSON DAVIS HWY SUITE 205 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357022 | Therapy Management Services, Inc. | Physical Therapist | 14904 Jefferson Davis Hwy, Ste 105, Woodbridge, VA 22191-3908 | 2005-06-28 |
| 1508484221 | Seddam Yahya Alshahari | Pharmacist | 14904 Jefferson Davis Hwy, Woodbridge, VA 22191-3908 | 2020-07-09 |
| 1376011346 | Rajni Sharma | Nurse Practitioner | 14904 Jefferson Davis Hwy, Woodbridge, VA 22191-3908 | 2018-11-08 |
| 1952844896 | Physicians for Ultrasound | Physiological Laboratory | 14904 Jefferson Davis Hwy, 206, Woodbridge, VA 22191-3908 | 2016-11-26 |
| 1922559616 | Linda Biney | Nurse Practitioner | 14904 Jefferson Davis Hwy, Woodbridge, VA 22191-3908 | 2016-10-18 |
| 1336599604 | Sofia Naz Ahmad | Optometrist | 14904 Jefferson Davis Hwy, Suite 308, Woodbridge, VA 22191-3908 | 2016-06-17 |
| 1013372366 | Woodbridge Infertility Institute | Clinic/Center | 14904 Jefferson Davis Hwy, Davis Highway, Woodbridge, VA 22191-3908 | 2015-12-30 |
| 1992182901 | Goodcare Pharmacy | Pharmacy | 14904 Jefferson Davis Hwy, Suite 101, Woodbridge, VA 22191-3908 | 2015-04-28 |
| 1508252313 | Aline Dental Associates PC | Dentist | 14904 Jefferson Davis Hwy, Suite 304, Woodbridge, VA 22191-3908 | 2015-04-08 |
| 1457773582 | Dominion Cardiac Care PC | Internal Medicine | 14904 Jefferson Davis Hwy, Suite 202, Woodbridge, VA 22191-3908 | 2014-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402593 | Mednovations LLC | Clinic/Center | 1712 Financial Loop, Woodbridge, VA 22192-2459 | 2018-06-26 |
| 1417355033 | Us Primary and Urgent Care Inc | Clinic/Center | 1342 Old Bridge Rd, Woodbridge, VA 22192-2708 | 2014-12-12 |
| 1790104487 | H&b Care Pllc | Clinic/Center | 13001 Summit School Rd Ste 3, Woodbridge, VA 22192-2903 | 2014-04-10 |
| 1942514435 | Oscar F Sugastti, Md, LLC | Clinic/Center | 2200 Opitz Blvd Ste 355, Woodbridge, VA 22191-3340 | 2010-07-27 |
| 1699227942 | Hematology Oncology Care of Northern Virginia | Clinic/Center | 1900 Opitz Blvd, Suite E & F, Woodbridge, VA 22191-3320 | 2016-11-02 |
| 1154661395 | Prime Wellness Clinic LLC | Clinic/Center | 14904 Jefferson Davis Hwy, Suite 305, Woodbridge, VA 22191-3908 | 2013-02-25 |
| 1689965865 | Prince William Pediatrics and Adolescent Center | Clinic/Center | 12722 Directors Loop, Woodbridge, VA 22192-2462 | 2011-04-22 |
| 1003051897 | Potomac Pediatrics, P.C. | Clinic/Center | 2296 Opitz Blvd, Suite 510, Woodbridge, VA 22191-3300 | 2008-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626478 | Partners In Family Practice LLC | Clinic/Center | 430 Clairmont Ct Ste 123, Colonial Heights, VA 23834-1770 | 2020-10-09 |
| 1730790874 | Janice G. Sadaya-conda M.d., Pllc | Clinic/Center | 6128 Brandon Ave Ste 225, Springfield, VA 22150-2640 | 2020-08-12 |
| 1598375610 | Johnson Venture Management Solutions, Inc. | Clinic/Center | 17 Langley Blvd Bldg 1216, Hampton, VA 23681-2143 | 2020-08-04 |
| 1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
| 1295359883 | Advanced Onsite Care LLC | Clinic/Center | 1045 Robert Welch Ln, Chesapeake, VA 23320-6770 | 2020-05-30 |
| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.