TELE-PHYSICIANS, P.C. (NPI# 1174939771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174939771 |
| Entity Type | Organization |
| Organization Name | TELE-PHYSICIANS, P.C. |
| Practice Address |
1768 Business Center Dr Suite 100 Reston VA 20190-5324 |
| Practice Telephone | 7032257104 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | BRANTLEY T JOLLY (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5712241069 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629484050 | Tele-physicians, P.C. | Internal Medicine | 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 | 2014-07-07 |
| 1538575964 | Tele-physicians, P.C. | Internal Medicine | 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 | 2014-07-07 |
| 1053727404 | Tele-physicians, P.C. | Psychiatry & Neurology | 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 | 2014-07-07 |
| 1730599846 | Tele-physicians, P.C. | Internal Medicine | 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 | 2014-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Tele-Physicians, P.C. | 1768 Business Center Drive, Suite 100, Reston, VA 20190 |
| Massachusetts Corporations | TELE-PHYSICIANS, P.C. | 1111 East Main Street, 16th Floor, Richmond, VA 21208 |
| Oregon Corporations, Companies and Business Names | TELE-PHYSICIANS, P.C. | 1768 Business Center Drive, Suite 100, Reston, VA 20190 |
| Iowa Business Entities | TELE-PHYSICIANS, P.C. | 1768 Business Center Drivesuite 100, Reston, VA 20190 |
| Connecticut Business Registrations | TELE-PHYSICIANS, P.C. | 1768 Business Center Drive, Suite 100, Reston, VA 20190 |
| Street Address |
1768 BUSINESS CENTER DR SUITE 100 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972779940 | Christie E Tung | Psychiatry & Neurology | 1768 Business Center Dr, Ste 100, Reston, VA 20190-5324 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215347430 | Hiba Alam | Psychiatry & Neurology | 4551 Whinny Ln, Glen Allen, VA 23060-6023 | 2014-04-28 |
| 1780027169 | Alejandro Santillan Cadenillas | Psychiatry & Neurology | 5875 Bremo Rd Ste 311, Richmond, VA 23226-1934 | 2013-04-16 |
| 1043294663 | John R Baker | Psychiatry & Neurology | 300 Medical Pkwy Ste 212, Chesapeake, VA 23320-4985 | 2005-12-06 |
| 1851830178 | Patronus Physicians Group PC | Psychiatry & Neurology | 8000 Towers Crescent Dr, Suite 1350, Vienna, VA 22182-6207 | 2017-02-20 |
| 1659705135 | Sanam Anwer | Psychiatry & Neurology | 800 Oak St, Farmville, VA 23901 | 2013-09-03 |
| 1407119258 | Ashutosh Kaushal | Psychiatry & Neurology | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2012-06-18 |
| 1588954788 | Melanie Jean Winningham | Psychiatry & Neurology | 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911-4668 | 2011-04-10 |
| 1255453320 | Wolfgang Leesch | Psychiatry & Neurology | 12200 Warwick Blvd, Suite 480, Newport News, VA 23601 | 2007-04-06 |
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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.