METROPOLITAN SURGICAL ASSIST (NPI# 1306234638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306234638 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN SURGICAL ASSIST |
| Practice Address |
2826 Old Lee Highway Suite 330 Fairfax VA 22031 |
| Mailing Address |
Po Box 345 Merrifield VA 22116-0345 |
| Practice Telephone | 7035448971 |
| Practice Fax Number | 7035626994 |
| Mailing Telephone | 7035448971 |
| Mailing Fax Number | 7035626994 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. VINEET MEHAN (PRESIDENT) |
| Authorized Official Telephone | 7035448971 |
| Authorized Official Credential | M.D., FACS |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER WASHINGTON PLASTIC SURGERY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Metropolitan Surgical Assist LLC | 2755 Hartland Rd Suite 300, Falls Church, Virginia 22043 |
| Street Address |
2826 OLD LEE HIGHWAY SUITE 330 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| 1356622583 | Tri-state Surgical Associates | Physician Assistant | 10332 Main St # 344, Fairfax, VA 22030-2410 | 2011-09-01 |
| 1417253816 | Esam Al Nouman | Physician Assistant | 2903 Roseline Rd, Fairfax, VA 22033-5602 | 2011-02-02 |
| 1427406727 | Peggy Vollstad | Physician Assistant | 3023 Hamaker Ct, Suite 200, Fairfax, VA 22031-2207 | 2016-05-26 |
| 1700234325 | Louis Kalisch | Physician Assistant | 10332 Main St # 344, Fairfax, VA 22030-2410 | 2016-05-25 |
| 1205242419 | Megan Condrey | Physician Assistant | 2826 Old Lee Hwy, Ste. 330, Fairfax, VA 22031-4323 | 2014-07-08 |
| 1811297807 | Douglas Trott | Physician Assistant | 12011 Lee Jackson Hwy, Fairfax, VA 22033-3335 | 2010-10-25 |
| 1548423643 | Luis I. Quinones | Physician Assistant | 12011 Lee Jackson Hwy, 4th Floor Spine Surgery, Fairfax, VA 22033-3310 | 2008-07-08 |
| 1881819498 | Mary Elizabeth Zempolich | Physician Assistant | 3650 Joseph Siewick Dr Ste 200, Fairfax, VA 22033-1712 | 2007-04-17 |
| 1225046303 | Josilu Portella | Physician Assistant | 3620 Joseph Siewick Dr, Suite 406, Fairfax, VA 22033-1756 | 2006-08-04 |
| Find all providers in FAIRFAX | ||||
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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.