ARDESHIR DAVOODI (NPI# 1245470004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245470004 |
| Entity Type | Individual |
| Full Name | ARDESHIR DAVOODI |
| Credential | M.D. |
| Practice Address |
2199 Old Bridge Rd Lake Ridge VA 22192-2911 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7033577707 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101248924 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
2199 OLD BRIDGE RD |
| City | LAKE RIDGE |
| State | VA |
| Zip Code | 22192-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790769453 | Steven Frederick Williams | Physician Assistant | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2005-12-05 |
| 1356814511 | Ivonne Cruz | Nurse Practitioner | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2019-01-09 |
| 1659891919 | Riken Kumar | Internal Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2017-06-27 |
| 1326588260 | Amanda Heger | Nurse Practitioner | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2017-02-26 |
| 1649511791 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-13 |
| 1902147374 | Patient First Richmond Medical Group | Family Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-11 |
| 1043570294 | Mary Anne Alexander | Internal Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2012-05-22 |
| 1578842191 | Saurabh Gambhir | Family Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2011-08-13 |
| 1205135159 | Lauren Lee Cassis | Physician Assistant | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2011-03-17 |
| 1154627362 | Amaiya Melissa Thompson | Physician Assistant | 2199 Old Bridge Rd, Lake Ridge, VA 22192 | 2011-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1174722664 | Amy L Friedenthal Md PC | Internal Medicine | 12512 Lake Ridge Dr Ste D, Lake Ridge, VA 22192-2386 | 2007-07-13 |
| 1659891919 | Riken Kumar | Internal Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2017-06-27 |
| 1346601309 | Sentara Medical Group | Internal Medicine | 12825 Minnieville Rd, Ste 202, Lake Ridge, VA 22192-3601 | 2016-03-17 |
| 1043570294 | Mary Anne Alexander | Internal Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2012-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113783 | Tiger Telemedicine | Internal Medicine | 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 | 2020-10-30 |
| 1235737248 | Alpa Patel Md Pllc | Internal Medicine | 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 | 2020-10-12 |
| 1821696139 | Jennifer Gorrelick, Md, Pllc | Internal Medicine | 1800 Town Center Dr Ste 418, Reston, VA 20190-3240 | 2020-10-09 |
| 1316551237 | Pinnacle Healthcare Services, LLC | Internal Medicine | 8000 Towers Crescent Dr Ste 1350, Vienna, VA 22182-6236 | 2020-09-08 |
| 1588277396 | Amm Consulting Inc | Internal Medicine | 6123 Stegen Dr, Alexandria, VA 22310-2277 | 2020-08-31 |
| 1215549936 | Marie Hope Campbell | Internal Medicine | 5705 Redbud Highway, Honaker, VA 24260 | 2020-08-24 |
| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1164030458 | Premier Health Consultants of Northern Virginia Inc | Internal Medicine | 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 | 2020-07-22 |
| 1679199194 | Abyssinia Medical Center | Internal Medicine | 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 | 2020-06-20 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
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| City | LAKE RIDGE |
| Zip Code | 22192 |
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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.