CAPITOL ANESTHESIA GROUP LLC (NPI# 1174828529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174828529 |
| Entity Type | Organization |
| Organization Name | CAPITOL ANESTHESIA GROUP LLC |
| Practice Address |
3028 Javier Rd Ste 400 Fairfax VA 22031-4622 |
| Mailing Address |
Po Box 221732 Chantilly VA 20153-1732 |
| Practice Telephone | 9413601566 |
| Practice Fax Number | 9413589818 |
| Mailing Telephone | 9413601566 |
| Mailing Fax Number | 9413589818 |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | AHMED HEGAB (MEMBER) |
| Authorized Official Telephone | 9413601566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3028 Javier Rd Ste 400, Fairfax, VA 220314622 | 9413601566 | 9413589818 |
| Street Address |
3028 JAVIER RD STE 400 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962505818 | Nicholas Szary | Internal Medicine | 3028 Javier Rd Ste 400, Fairfax, VA 22031-4622 | 2006-09-06 |
| 1801042791 | Renu Sharaf Mansukhani | Internal Medicine | 3028 Javier Rd Ste 400, Fairfax, VA 22031-4622 | 2008-08-12 |
| 1700049764 | Emarie Danielle Hill | Physician Assistant | 3028 Javier Rd Ste 400, Fairfax, VA 22031 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457562720 | Shayla Kristin Gaither | Anesthesiology | 3600 Joseoh Siewick Dr, Fairfax, VA 22033 | 2007-05-25 |
| 1750484275 | Raul Abalos Moran | Anesthesiology | 10734 Main Street, Fairfax, VA 22030 | 2006-09-07 |
| 1760584247 | Mita D Shah | Anesthesiology | 10875 Main St Ste 105, Fairfax, VA 22030-4732 | 2006-09-03 |
| 1568464121 | Frank Mathieu | Anesthesiology | 3998 Fair Ridge Dr., Suite 320, Fairfax, VA 22033-2921 | 2005-08-12 |
| 1326049396 | Ziad Yafi | Anesthesiology | 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2921 | 2005-08-02 |
| 1609357235 | Advanced Dental Anesthesia Pllc | Anesthesiology | 10611 Braddock Rd, Fairfax, VA 22032-2201 | 2018-08-22 |
| 1003283938 | Mid Atlantic Pain Management, LLC | Anesthesiology | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0985 | 2015-08-26 |
| 1578984852 | North American Partners In Anesthesia Florida LLC | Anesthesiology | 3998 Fair Ridge Dr., Ste 300, Fairfax, VA 22033-2921 | 2014-01-03 |
| 1316102874 | Valerie Ann Gouzd | Anesthesiology | 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907 | 2008-07-24 |
| 1780846113 | Mirja Laroche | Anesthesiology | 3600 Joseph Siewick Dr, Anesthesia Dept, Fairfax, VA 22033-1709 | 2008-06-26 |
| Find all providers in FAIRFAX | ||||
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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.