DR. JEFFREY B CONKLIN (NPI# 1265513238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265513238 |
Entity Type | Individual |
Full Name | DR. JEFFREY B CONKLIN |
Credential | M.D. |
Practice Address |
21785 Filigree Ct Suite 100 Ashburn VA 20147-6213 |
Practice Telephone | 7035541100 |
Practice Fax Number | 7035541110 |
Mailing Telephone | 7035541100 |
Mailing Fax Number | 7035541110 |
Enumeration Date | 2006-10-18 |
Last Update Date | 2011-02-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
0101248660 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1265513238 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598870719 | Jeffrey Allen Conklin | Pathology | 850 W Baraga Ave, Marquette, MI 49855 | 2006-08-20 |
1265460372 | Jeffrey L Conklin | Specialist | 8700 Beverly Blvd., Los Angeles, CA 90048-1865 | 2006-06-29 |
Street Address |
21785 FILIGREE CT SUITE 100 |
City | ASHBURN |
State | VA |
Zip Code | 20147-6213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871593327 | Bibhu R Misra | Chiropractor | 21785 Filigree Ct, Suite 200, Ashburn, VA 20147-6213 | 2005-07-27 |
1750944799 | Amanda Pauline Daugherty-ward | Physical Therapist | 21785 Filigree Ct, Ashburn, VA 20147-6213 | 2019-04-16 |
1558819144 | Hamiyet Kosay Outzen | Nurse Practitioner | 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 | 2016-09-13 |
1184178550 | Inova Health System Services | Clinic/Center | 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 | 2016-08-15 |
1376096719 | Patricia Mcconnell | Nurse Practitioner | 21785 Filigree Ct, Ashburn, VA 20147-6213 | 2016-08-02 |
1972951499 | Loudoun Medical Group PC | Internal Medicine | 21785 Filigree Ct, Suite 215, Ashburn, VA 20147-6213 | 2016-05-25 |
1265880876 | Leah Harley | Nurse Practitioner | 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 | 2016-05-25 |
1932555836 | Kelly Wrightson Givans | Nurse Practitioner | 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 | 2016-05-10 |
1710332564 | Alison Behar | Social Worker | 21785 Filigree Ct, Ashburn, VA 20147-6213 | 2016-04-29 |
1386002640 | Meaghan V. Pierce | Nurse Practitioner | 21785 Filigree Ct, #100, Ashburn, VA 20147-6213 | 2016-02-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
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Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 |
---|---|---|---|---|
1659552156 | Olumuyiwa Ojediran, M.d P.c | Internal Medicine | 734 S Sycamore St, Petersburg, VA 23803-5817 | 2007-11-26 |
1376760140 | Richard Homer Bright | Internal Medicine | 94 Longview Cir, Fishersville, VA 22939-2004 | 2007-04-20 |
1881795557 | Bon Secours Memorial Regional Medical Center LLC | Internal Medicine | 10150 Staples Mill Rd Ste C, Glen Allen, VA 23060-3452 | 2006-09-26 |
1730116575 | Alok Rustogi | Internal Medicine | 46090 Lake Center Plz, 201, Potomac Falls, VA 20165-5876 | 2006-06-27 |
1306802426 | Martha A. Griswold | Internal Medicine | 173 Waterfront Dr, Colonial Heights, VA 23834-2181 | 2006-04-26 |
1043549561 | Hampton Roads Hospitalist Group | Internal Medicine | 3636 High St, Portsmouth, VA 23707-3236 | 2009-12-11 |
1700042231 | Michael Tobeh Kometa | Internal Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2008-08-04 |
1487867958 | Kaveh Ofogh | Internal Medicine | 301 Concourse Blvd, Suite# 210, Glen Allen, VA 23059 | 2007-05-08 |
1942364617 | Centre Pointe Health Specialties | Internal Medicine | 3920 Plank Rd, 120, Fredericksburg, VA 22407-7104 | 2006-12-20 |
1487712394 | Nushin F Todd | Internal Medicine | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-12-04 |
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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.