MICHELLE BACHTOLD (NPI# 1245475607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245475607 |
| Entity Type | Individual |
| Full Name | MICHELLE BACHTOLD |
| Credential | PA-C |
| Practice Address |
8640 Sudley Rd Ste 201 Manassas VA 20110-4404 |
| Practice Telephone | 7033686819 |
| Practice Fax Number | 7033302923 |
| Mailing Telephone | 7033686819 |
| Mailing Fax Number | 7033302923 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2012-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002893 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8640 SUDLEY RD STE 201 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538076 | Edward C Kim | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| 1548502347 | Kibbum Kang | Nurse Practitioner | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2013-03-20 |
| 1689806531 | Christa M Purdum | Physician Assistant | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2009-08-11 |
| 1720253503 | Tinatin Khizanishvili O'connell | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2008-04-23 |
| 1992828693 | Paul O Arnold | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2007-04-09 |
| 1093828147 | Nina Phatak | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2006-08-15 |
| 1023057445 | Myung W Choi | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2006-06-05 |
| 1154377497 | Darren S Baroni | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2006-05-26 |
| 1225033038 | Jin Hong Park | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| 1306841127 | Douglas S Price | Specialist | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563055 | Yoseline C Kibic | Physician Assistant | 9001 Digges Rd Ste 107&108, Manassas, VA 20110-4421 | 2019-02-03 |
| 1447221635 | Billy S. Burk | Physician Assistant | 8325 Rolling Road, Suite 300, Manassas, VA 20110-3673 | 2006-01-27 |
| 1497395107 | Emma Winslow Adelman | Physician Assistant | 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 | 2020-01-10 |
| 1366983835 | Lauren H Mast | Physician Assistant | 8525 Rolling Rd Ste 300, Manassas, VA 20110-3673 | 2017-03-16 |
| 1578918611 | Christopher Lotfabadi | Physician Assistant | 8525 Rolling Rd, Suite 200, Manassas, VA 20110-3647 | 2016-04-26 |
| 1558753293 | Lori Dodd Doyle | Physician Assistant | 8650 Sudley Rd, Suite #310, Manassas, VA 20110-4419 | 2015-03-03 |
| 1154720399 | Barbara Holloway-toliver | Physician Assistant | 9715 Liberia Ave, Manassas, VA 20110-5837 | 2014-08-13 |
| 1124319801 | Berkley Leo Williams | Physician Assistant | 8708 Sudley Rd, Manassas, VA 20110-4405 | 2011-04-28 |
| 1689806531 | Christa M Purdum | Physician Assistant | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2009-08-11 |
| 1942454269 | Ethel M Henry | Physician Assistant | 10692 Crestwood Dr Ste B, Manassas, VA 20109-4410 | 2008-11-13 |
| Find all providers in MANASSAS | ||||
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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.