MEDSERV MEDICAL MANAGEMENT SERVICES LLC (NPI# 1235518226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235518226 |
| Entity Type | Organization |
| Organization Name | MEDSERV MEDICAL MANAGEMENT SERVICES LLC |
| Other Organization Name | MEDICAL AND VISION CLINIC |
| Practice Address |
8243 Shoppers Sq Manassas VA 20111-2176 |
| Practice Telephone | 5712081384 |
| Practice Fax Number | 5712081542 |
| Mailing Telephone | 5712081384 |
| Mailing Fax Number | 5712081542 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | MIGUEL E ORELLANA (PRESIDENT) |
| Authorized Official Telephone | 5712081384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
0101246564 | VA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical and Vision Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEDSERV Medical Management Services LLC | 6911 Richmond Hwy, Suite 425, Alexandria, Virginia 22306 |
| Street Address |
8243 SHOPPERS SQ |
| City | MANASSAS |
| State | VA |
| Zip Code | 20111-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588044150 | Hibp Medical Services Inc | Clinic/Center | 8243 Shoppers Sq, Manassas, VA 20111-2176 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811333685 | Kay Dental Care Associates PC | Dentist | 8393 Centreville Rd, Manassas, VA 20111 | 2013-05-20 |
| 1891080727 | Jatinder Kaler | Dentist | 8393 Centreville Road, Manassas, VA 20111 | 2011-06-20 |
| 1841511417 | Michelle Elaine Wade | Counselor | 9254 Kristy Dr, Manassas Park, VA 20111 | 2010-06-18 |
| 1467789123 | Dr. Stephanie M. Lee & Associates | Optometrist | 9405 Liberia Avenue, Manassas, VA 20111 | 2009-11-17 |
| 1457566903 | T James Batistas Dds Pllc | Dentist | 9110 Railroad Drive, Suite 201, Manassas Park, VA 20111 | 2007-05-10 |
| 1205058880 | Mp Dental Associates Dds PC | Dentist | 7806 Centreville Road, Manassas, VA 20111 | 2007-05-03 |
| 1255494027 | Joseph M. Arzadon, Md, Dds, PC | Dentist | 9110 Railroad Dr, Suite 100, Manassas Park, VA 20111 | 2006-12-19 |
| 1962415687 | Mea Young Lee | Optometrist | 9405 Liberia Ave, Manassas, VA 20111 | 2006-08-14 |
| 1194766519 | Tarie Gresham Todman | Pharmacist | 7900 Scully Ct, Manassas, VA 20111 | 2006-06-09 |
| 1053415729 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 7500 Centreville Rd, Manassas Park, VA 20111-1743 | 2006-09-12 |
| Find all providers in zip 20111 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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| 1427370857 | Yon S Choe | Clinic/Center | 9244 Mosby St Unit A, Manassas, VA 20110-5038 | 2010-02-26 |
| 1215197025 | Northern Virginia Family Medicine, PC | Clinic/Center | 9001 Digges Rd, Suite#104, Manassas, VA 20110-4421 | 2008-06-16 |
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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.