WASHINGTON RADIOLOGY ASSOCIATES, PLLC (NPI# 1215985437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215985437 |
| Entity Type | Organization |
| Organization Name | WASHINGTON RADIOLOGY ASSOCIATES, PLLC |
| Practice Address |
3015 Williams Dr Suite 200 Fairfax VA 22031-4623 |
| Practice Telephone | 7036419133 |
| Practice Fax Number | 7032805098 |
| Mailing Telephone | 7036419133 |
| Mailing Fax Number | 7032805098 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | IAN LANDE (PRESIDENT) |
| Authorized Official Telephone | 7036419433 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 0460549 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851816680 | Washington Radiology Associates, Pllc | Radiology | 1005 N Glebe Rd Ste 110, Arlington, VA 22201-4751 | 2017-08-14 |
| 1013235910 | Washington Radiology Associates, Pllc | Specialist | 12505 Park Potomac Ave, Potomac, MD 20854-6801 | 2010-05-17 |
| 1225221096 | Washington Radiology Associates, Pllc | Specialist | 3022 Williams Dr, Ste 204, Fairfax, VA 22031-4600 | 2007-08-24 |
| 1598958365 | Washington Radiology Associates, Pllc | Specialist | 2141 K St Nw, Ste 100, Washington, DC 20037-1810 | 2007-08-24 |
| 1699967844 | Washington Radiology Associates, Pllc | Specialist | 3022 Williams Dr, Ste 104, Fairfax, VA 22031-4600 | 2007-08-13 |
| 1730370222 | Washington Radiology Associates, Pllc | Specialist | 10215 Fernwood Rd, Ste 50, Bethesda, MD 20817-1106 | 2007-08-08 |
| 1407047905 | Washington Radiology Associates, Pllc | Specialist | 21351 Ridgetop Cir, Ste 100, Sterling, VA 20166-6561 | 2007-08-08 |
| 1679764153 | Washington Radiology Associates, Pllc | Specialist | 2141 K St Nw, Suite 900, Washington, DC 20037-1810 | 2007-08-08 |
| 1275724700 | Washington Radiology Associates, Pllc | Specialist | 4445 Willard Ave, Ste 200, Chevy Chase, MD 20815-3690 | 2007-08-08 |
| Street Address |
3015 WILLIAMS DR SUITE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078538 | Shelby Marie Duffer | Genetic Counselor, MS | 3015 Williams Dr, Fairfax, VA 22031-4623 | 2005-10-24 |
| 1740538347 | Jennifer L Weiss | Genetic Counselor, MS | 3015 Williams Dr, Fairfax, VA 22031-4623 | 2012-08-29 |
| 1487888442 | Rend Al-khalili | Radiology | 3015 Williams Dr, Suite 200, Fairfax, VA 22031-4623 | 2009-05-06 |
| 1417976978 | Mary Celia Sands | Genetic Counselor, MS | 3015 Williams Dr, Fairfax, VA 22031-4623 | 2006-07-18 |
| 1497789853 | Laurence C Udoff | Obstetrics & Gynecology | 3015 Williams Dr, #202, Fairfax, VA 22031-4623 | 2006-07-10 |
| 1568440170 | Stuart Alan Fruman | Radiology | 3015 Williams Dr, #200, Fairfax, VA 22031-4623 | 2006-01-04 |
| 1902896616 | Michelle T Kladakis | Radiology | 3015 Williams Dr, Suite 200, Fairfax, VA 22031-4623 | 2005-10-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1841748829 | Katherine Thompson | Specialist | 3525 Mclean Ave, Fairfax, VA 22030-3007 | 2016-09-19 |
| 1932574019 | Tracie Reyes | Specialist | 11240 Waples Mill Rd Ste 100, Fairfax, VA 22030-6078 | 2015-12-01 |
| 1669845236 | Lauren Washington | Specialist | 11240 Waples Mill Rd Ste 301, Fairfax, VA 22030-6078 | 2015-11-04 |
| 1457746513 | Stephanie Bolger | Specialist | 10700 Zion Dr, Fairfax, VA 22032-3432 | 2015-04-05 |
| 1588066096 | Erin Stephenson | Specialist | 12881 Fair Valley Ct, Fairfax, VA 22033-3816 | 2014-09-16 |
| 1609114081 | Rachel Fannell Eisenfeld | Specialist | 10660 Page Ave, Fairfax, VA 22030-4098 | 2013-01-20 |
| 1043563422 | Maryann G Rozzell | Specialist | 3422 Barkley Dr, Fairfax, VA 22031-2724 | 2012-10-22 |
| 1861776551 | Wilbert Aguila | Specialist | 12678 Marcum Ct, Fairfax, VA 22033-2457 | 2011-09-29 |
| 1558692681 | Jacquelyn Lewis | Specialist | 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 | 2010-01-29 |
| 1861679896 | Linda O'toole Glick | Specialist | 11106 Del Rio Dr, Fairfax, VA 22030-5339 | 2008-01-22 |
| 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.