PWNC PC CORP (NPI# 1184707796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184707796 |
| Entity Type | Organization |
| Organization Name | PWNC PC CORP |
| Other Organization Name | PRINCE WILLIAM NEUROSCIENCE CENTER |
| Practice Address |
8650 Sudley Rd Suite 300 Manassas VA 20110-4419 |
| Practice Telephone | 7033690600 |
| Practice Fax Number | 7033697487 |
| Mailing Telephone | 7033690600 |
| Mailing Fax Number | 7033697487 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | DR. YVETTE C SANDOVAL (NEURO PRESIDENT) |
| Authorized Official Telephone | 7033690600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101059282 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0007111673 | 05 |
| Other Name | Type Code |
|---|---|
| Prince William Neuroscience Center | Former Legal Business Name - Organization |
| Street Address |
8650 SUDLEY RD SUITE 300 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237718 | Jonathan Robert Amy | Psychiatry & Neurology | 8650 Sudley Rd, Suite 309, Manassas, VA 20110-4419 | 2005-06-30 |
| 1558753293 | Lori Dodd Doyle | Physician Assistant | 8650 Sudley Rd, Suite #310, Manassas, VA 20110-4419 | 2015-03-03 |
| 1386070787 | Justine Mcdermott | Audiologist | 8650 Sudley Rd, Suite 209, Manassas, VA 20110-4419 | 2013-09-18 |
| 1508130246 | Virginia Spine Specialists Pllc | Neurological Surgery | 8650 Sudley Rd, Suite 315, Manassas, VA 20110-4419 | 2012-02-27 |
| 1407037500 | Edmund Stephen Petrilli, M.d., P.C. | Obstetrics & Gynecology | 8650 Sudley Rd, Suite 200, Manassas, VA 20110-4419 | 2007-11-16 |
| 1306976709 | George John Bitar | Plastic Surgery | 8650 Sudley Rd, Ste. 203, Manassas, VA 20110-4419 | 2007-03-06 |
| 1073676771 | Robin Elizabeth Brodie | Pediatrics | 8650 Sudley Rd, Suite 306, Manassas, VA 20110-4419 | 2006-12-18 |
| 1346303062 | Pine Grove Pediatrics | Pediatrics | 8650 Sudley Rd, Suite 306, Manassas, VA 20110-4419 | 2006-12-18 |
| 1760545479 | Susan Keller Campbell | Family Medicine | 8650 Sudley Rd, Suite 306, Manassas, VA 20110-4419 | 2006-12-18 |
| 1104837244 | John P Williams | Surgery | 8650 Sudley Rd, #206, Manassas, VA 20110 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| 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 |
|---|---|---|---|---|
| 1871953349 | Sarah Rosenthal | Specialist | 8480 Signal Hill Rd Apt 301, Manassas, VA 20110-7034 | 2016-02-26 |
| 1710110366 | Haysam Baho | Specialist | 9548 Surveyor Ct, Manassas, VA 20110-4406 | 2009-08-31 |
| 1497927537 | W James Werner Md Family Medicine Plc | Specialist | 8575 Sudley Rd, Suite A & B, Manassas, VA 20110-3861 | 2008-03-28 |
| 1932250982 | V.r Veerapalli M.d PC. | Specialist | 9615 Champion Ct, Manassas, VA 20110-4402 | 2007-01-16 |
| 1790845493 | Russell G Johnston | Specialist | Prince William Hospital, 8700 Sudley Road, Manassas, VA 20011-4418 | 2006-12-11 |
| 1265459341 | Keith Sumner Albertson | Specialist | 9379 Forestwood Ln, Manassas, VA 20110-4701 | 2006-07-16 |
| 1194772665 | Behdad Aryavand | Specialist | 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 | 2006-05-28 |
| 1164475653 | Patty Cruz | Specialist | 7928 Donegan Dr, Manassas, VA 20109-2870 | 2006-05-18 |
| 1205805306 | Alison Ansher | Specialist | 9301 Lee Ave, Manassas, VA 20110 | 2006-03-14 |
| 1164422994 | Randolph W Stark | Specialist | 10680 Crestwood Dr Ste B, Manassas, VA 20109-4402 | 2005-07-22 |
| Find all providers in MANASSAS | ||||
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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.