CAREY M. MARDER (NPI# 1205838471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205838471 |
| Entity Type | Individual |
| Full Name | CAREY M. MARDER |
| Credential | M.D. |
| Practice Address |
130 Park St Se Ste 100 Vienna VA 22180-4626 |
| Mailing Address |
2901 Telestar Ct Ste 300 Falls Church VA 22042-1263 |
| Practice Telephone | 7032811265 |
| Practice Fax Number | 7032550571 |
| Mailing Telephone | 7035911688 |
| Mailing Fax Number | 7035911445 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101033040 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1205838471 | 05 | |
| DC | RAILROAD MEDICARE DC # | 060034952 | 01 |
| VA | RAILROAD MEDICARE VA # | 060062642 | 01 |
| DC | 031741700 | 05 | |
| MD | 340102200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44035 Riverside Pkwy Ste 400, Leesburg, VA 201768260 | 7038585421 | 7038589573 |
| 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 220331764 | 7036483266 | 7036483264 |
| 3620 Joseph Siewick Dr Ste 302, Fairfax, VA 220331759 | 7036483266 | 7036483264 |
| Street Address |
130 PARK ST SE STE 100 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000181 | Pradeep R. Nayak | Internal Medicine | 130 Park St Se, Ste 100, Vienna, VA 22180-4626 | 2005-06-01 |
| 1568414399 | Jennifer Audibert | Nurse Practitioner | 130 Park St Se, #100, Vienna, VA 22180-4609 | 2006-05-17 |
| 1790735272 | Kelley M. Anderson | Nurse Practitioner | 130 Park St Se, #100, Vienna, VA 22180-4609 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093770372 | Virender Dhawer | Internal Medicine | 9652 Maymont Dr, Vienna, VA 22182-3010 | 2006-04-19 |
| 1487658464 | Sara Kulangara | Internal Medicine | 130 Park St Se Ste 100, Vienna, VA 22180-4626 | 2005-06-08 |
| 1922000181 | Pradeep R. Nayak | Internal Medicine | 130 Park St Se, Ste 100, Vienna, VA 22180-4626 | 2005-06-01 |
| 1730356916 | Jennifer A Shea | Internal Medicine | 130 Park St Se Ste 100, Vienna, VA 22180-4626 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482102 | Careclix Inc | Internal Medicine | 206 N Washington St Ste 100, Alexandria, VA 22314-2534 | 2020-03-14 |
| 1962046763 | Southpark Vascular Center | Internal Medicine | 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990 | 2019-11-05 |
| 1205496866 | United Diagnostic Services LLC | Internal Medicine | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-06-17 |
| 1790348365 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr Ste 354, Arlington, VA 22205-3687 | 2019-04-18 |
| 1366905523 | Premier Cardiac and Vascular LLC | Internal Medicine | 5514 Alma Ln Ste 200, Springfield, VA 22151-4014 | 2019-04-12 |
| 1083133144 | Community Cardiology | Internal Medicine | 43 Rives Rd Ste 201, Petersburg, VA 23805-9255 | 2017-09-11 |
| 1306361803 | Stateline Heart and Vascular Health, Inc | Internal Medicine | 312 Fairy Street Ext Ste 101, Martinsville, VA 24112-1912 | 2017-08-07 |
| 1265954747 | Sentara Medical Group | Internal Medicine | 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 | 2017-07-17 |
| 1003366618 | Bluefield Vascular Center | Internal Medicine | 970 Leatherwood Ln, Bluefield, VA 24605-2047 | 2016-10-06 |
| 1770947806 | Rajiv Ashok Kabadi | Internal Medicine | Vcuhs Department of Cards Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-04-05 |
| Find all providers with the same taxonomy | ||||
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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.