MRS. ALISON BETH MANTUA (NPI# 1184771677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184771677 |
| Entity Type | Individual |
| Full Name | MRS. ALISON BETH MANTUA |
| Other Name | MS. ALISON BETH GOLDFARB |
| Credential | PA-C |
| Practice Address |
8503 Arlington Blvd Suite 310 Fairfax VA 22031-4628 |
| Practice Telephone | 7032084200 |
| Practice Fax Number | 7038761799 |
| Mailing Telephone | 7032084200 |
| Mailing Fax Number | 7038761799 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001075 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8503 ARLINGTON BLVD SUITE 310 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968601 | Robert Alan Ball | Urology | 8503 Arlington Blvd, #310, Fairfax, VA 22031-4628 | 2005-08-10 |
| 1780179192 | Nicole M. Papanicolas | Nurse Practitioner | 8503 Arlington Blvd, Fairfax, VA 22031-4628 | 2018-06-27 |
| 1053847293 | Virginia Cancer Specialists, P.C. | Pharmacy | 8503 Arlington Blvd, Suite 320, Fairfax, VA 22031-4628 | 2017-05-09 |
| 1700329406 | Saundra Weller | Social Worker | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2016-11-29 |
| 1265975437 | Laboratory Corporation of America | Clinical Medical Laboratory | 8503 Arlington Blvd, Suite 310 A, Fairfax, VA 22031-4628 | 2016-11-21 |
| 1881035491 | Brandi N Hardy | Nurse Practitioner | 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 | 2013-07-11 |
| 1659615045 | Princeton Longevity Medical Group of Virginia LLC | Internal Medicine | 8503 Arlington Blvd, Fairfax, VA 22031-4628 | 2012-11-26 |
| 1528318334 | Christine Mary Helou | Nurse Practitioner | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2012-09-19 |
| 1881963403 | Timothy Andrew Mccarthy | Internal Medicine | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2011-12-28 |
| 1952636581 | Inova Reston Mri Center LLC | Clinic/Center | 8503 Arlington Blvd, Suite Ll100, Fairfax, VA 22031-4628 | 2009-10-15 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1114327087 | Bach-duong Dinh | Physician Assistant | 8316 Arlington Blvd Ste 401, Fairfax, VA 22031-5216 | 2014-08-28 |
| 1760633283 | Xyz Clinic | Physician Assistant | 17000 Breeze Lane, Fairfax, VA 22033 | 2008-10-02 |
| 1184810574 | Elizabeth Colella Johnson | Physician Assistant | 3022 Williams Dr #300, Fairfax, VA 22031 | 2007-09-19 |
| 1548322159 | Tsion Tewolde | Physician Assistant | 3600 Joseph Siewick, Drivefair Oaks Hospitalist Group, Fairfax, VA 22033 | 2006-12-14 |
| 1841307956 | Danielle M Landzinski | Physician Assistant | 10615 Judicial Dr Ste 401, Fairfax, VA 22030-7501 | 2006-08-24 |
| 1902873565 | Danielle Ali Layton | Physician Assistant | 3028 Javier Rd, Suite 300, Fairfax, VA 22031-4622 | 2006-03-02 |
| 1215437413 | Caitlin Noelle Fortune | Physician Assistant | 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 | 2018-02-15 |
| 1396270310 | Jessica Nicole Ortega | Physician Assistant | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2017-04-27 |
| 1295116952 | Faith Saunders | Physician Assistant | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2015-06-17 |
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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.