MISS JOSILU PORTELLA (NPI# 1225046303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225046303 |
| Entity Type | Individual |
| Full Name | MISS JOSILU PORTELLA |
| Credential | PHYSICIANS ASSISTANT |
| Practice Address |
3620 Joseph Siewick Dr Suite 406 Fairfax VA 22033-1756 |
| Practice Telephone | 7033598640 |
| Practice Fax Number | 7035916105 |
| Mailing Telephone | 7033598640 |
| Mailing Fax Number | 7035916105 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3620 JOSEPH SIEWICK DR SUITE 406 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671414 | Adil Zahoor Ghauri | Internal Medicine | 3620 Joseph Siewick Dr, 306, Fairfax, VA 22033-1756 | 2005-07-07 |
| 1144878190 | Nicolas Gay | Physical Therapist | 3620 Joseph Siewick Dr, Suite 201, Fairfax, VA 22033-1758 | 2019-09-03 |
| 1164938247 | Han Thi Ngoc Nguyen | Nurse Practitioner | 3620 Joseph Siewick Dr, Ste 406, Fairfax, VA 22033-1761 | 2017-12-27 |
| 1265885107 | Allison Elizabeth Simons | Physical Therapist | 3620 Joseph Siewick Dr, Suite 106, Fairfax, VA 22033-1756 | 2016-07-15 |
| 1710345525 | Paola Andrea Garcia Veizaga | Physical Therapist | 3620 Joseph Siewick Dr, Fairfax, VA 22033-1756 | 2016-02-08 |
| 1427436062 | Maria Tadic | Dietitian, Registered | 3620 Joseph Siewick Dr, Suite 200, Fairfax, VA 22033-1756 | 2015-05-15 |
| 1780078030 | Gretta Herbert | Specialist | 3620 Joseph Siewick Dr, Suite 307, Fairfax, VA 22033-1756 | 2015-03-25 |
| 1356734412 | Northern Virginia Surgery Center Anesthesia | Anesthesiology | 3620 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033-1756 | 2015-03-13 |
| 1396137956 | Sarah Margerison | Physical Therapist | 3620 Joseph Siewick Dr, Suite 100-a, Fairfax, VA 22033-1756 | 2015-02-19 |
| 1457796641 | Renascance Dermatology PC | Dermatology | 3620 Joseph Siewick Dr, Suite 303, Fairfax, VA 22033-1756 | 2013-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| 1306234638 | Metropolitan Surgical Assist | Physician Assistant | 2826 Old Lee Highway, Suite 330, Fairfax, VA 22031 | 2015-01-09 |
| 1356622583 | Tri-state Surgical Associates | Physician Assistant | 10332 Main St # 344, Fairfax, VA 22030-2410 | 2011-09-01 |
| 1417253816 | Esam Al Nouman | Physician Assistant | 2903 Roseline Rd, Fairfax, VA 22033-5602 | 2011-02-02 |
| 1427406727 | Peggy Vollstad | Physician Assistant | 3023 Hamaker Ct, Suite 200, Fairfax, VA 22031-2207 | 2016-05-26 |
| 1700234325 | Louis Kalisch | Physician Assistant | 10332 Main St # 344, Fairfax, VA 22030-2410 | 2016-05-25 |
| 1205242419 | Megan Condrey | Physician Assistant | 2826 Old Lee Hwy, Ste. 330, Fairfax, VA 22031-4323 | 2014-07-08 |
| 1811297807 | Douglas Trott | Physician Assistant | 12011 Lee Jackson Hwy, Fairfax, VA 22033-3335 | 2010-10-25 |
| 1548423643 | Luis I. Quinones | Physician Assistant | 12011 Lee Jackson Hwy, 4th Floor Spine Surgery, Fairfax, VA 22033-3310 | 2008-07-08 |
| 1881819498 | Mary Elizabeth Zempolich | Physician Assistant | 3650 Joseph Siewick Dr Ste 200, Fairfax, VA 22033-1712 | 2007-04-17 |
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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.