DERMATOLOGY ASSOCIATES OF NORTHERN VIRGINIA (NPI# 1255791448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255791448 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES OF NORTHERN VIRGINIA |
| Practice Address |
25055 Riding Plz Suite 230 Chantilly VA 20152-5917 |
| Mailing Address |
13880 Braddock Rd Ste 301 Centreville VA 20121-2462 |
| Practice Telephone | 7032222773 |
| Practice Fax Number | 7032226093 |
| Mailing Telephone | 7032222773 |
| Mailing Fax Number | 7032226093 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | MS. ANITA JUNE NEELY (ADMINISTRATOR) |
| Authorized Official Telephone | 7032222773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 0101047432 | VA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356521850 | Dermatology Associates of Northern Virginia | Dermatology | 21495 Ridgetop Circle, Suite 105, Sterling, VA 20166-6512 | 2007-11-13 |
| 1255376802 | Dermatology Associates of Northern Virginia | Specialist | 13880 Braddock Rd, 301, Centreville, VA 20121-2459 | 2006-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Dermatology Associates of Northern Virginia Inc. | 13880 Braddock Road, 3rd Floor, Centreville, Virginia 20121 |
| Street Address |
25055 RIDING PLZ SUITE 230 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20152-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164483517 | Trang T. Vo-nguyen | Otolaryngology | 25055 Riding Plz, Suite 140, Chantilly, VA 20152-5917 | 2006-03-28 |
| 1770835480 | The Virginia Institute Pllc | Otolaryngology | 25055 Riding Plz, Suite 140, Chantilly, VA 20152-5917 | 2012-10-04 |
| 1114275237 | Ultimate Results At South Riding | Health Educator | 25055 Riding Plz, Suite 130, Chantilly, VA 20152-5917 | 2012-08-21 |
| 1093063570 | Neha Kapoor | Optometrist | 25055 Riding Plz, Suite 100, Chantilly, VA 20152-5917 | 2012-08-15 |
| 1346565884 | David S Goodwin | Orthopaedic Surgery | 25055 Riding Plz, Ste 260, Chantilly, VA 20152-5917 | 2010-03-27 |
| 1265695712 | Dental One Associates South Riding PC | Dentist | 25055 Riding Plz, 270, Chantilly, VA 20152-5917 | 2008-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1982178620 | South Riding Modern Dentistry, PC | Dentist | 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 | 2019-01-16 |
| 1154897627 | Nicole Hong | Dentist | 25273 Nesting Sq, Chantilly, VA 20152 | 2018-10-22 |
| 1437586369 | Chiron Physical Therapy LLC | Physical Therapist | 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 | 2013-10-10 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1992955777 | Sohaib S. Elsayed | Family Medicine | 25055 Riding Plz Ste 220, South Riding, VA 20152 | 2008-09-29 |
| 1538328067 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24795 Pinebrook Rd, South Riding, VA 20152 | 2008-06-09 |
| 1790970556 | Irfan Galaria | Plastic Surgery | 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 | 2007-09-13 |
| 1316150881 | Dina Gottesman | Pediatrics | 25055 Riding Plaza, Suite 150, South Riding, VA 20152 | 2007-05-08 |
| Find all providers in zip 20152 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003381310 | Audrey R. Townes | Preferred Provider Organization | 837 Azalea Ave, Richmond, VA 23227-3512 | 2018-10-12 |
| 1043717457 | Chesapeake Family and Implant Dentistry LLC | Preferred Provider Organization | Chesapeake Family and Implant Dentistry, 516 Innovation Dr. Suite 302, Chesapeake, VA 23320 | 2018-04-11 |
| 1376078105 | Bella Family Home Health Care Inc | Preferred Provider Organization | 5827 Columbia Pike Ste 316, Falls Church, VA 22041-2036 | 2017-04-30 |
| 1245763366 | Living Made Easy | Preferred Provider Organization | 328 Peninsular St, Lynchburg, VA 24501-1420 | 2017-04-05 |
| 1225575830 | Gentle Touch Home Health Care | Preferred Provider Organization | 3421 Vimy Ridge Ave, Norfolk, VA 23509-2041 | 2017-01-22 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1962853036 | James D. Cahn, Dds, P.C. | Preferred Provider Organization | 5225 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2620 | 2016-06-29 |
| 1780045849 | Ideal Dental Care, Inc | Preferred Provider Organization | 8111 Midlothian Tpke, North Chesterfield, VA 23235-5115 | 2016-03-16 |
| 1063871309 | Childlike Faith Services, LLC | Preferred Provider Organization | 12417 Branner Way, 103, Chester, VA 23836-2807 | 2016-02-15 |
| 1366815532 | Graceful Hands | Preferred Provider Organization | 18874 Christanna Hwy, Lawrenceville, VA 23868-2603 | 2015-11-10 |
| Find all providers with the same taxonomy | ||||
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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.