CLIFTON CARE LLC (NPI# 1316151343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316151343 |
Entity Type | Organization |
Organization Name | CLIFTON CARE LLC |
Other Organization Name | WALK-IN MEDICAL CARE FAIR OAKS |
Practice Address |
12011 Lee Jackson Memorial Hwy Suite 102 Fairfax VA 22033-3310 |
Practice Telephone | 7033858378 |
Mailing Telephone | 7033858378 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. BINA S KOLOLGI (OWNER) |
Authorized Official Telephone | 7033858378 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
0101053083 | VA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Walk-In Medical Care Fair Oaks | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | CLIFTON CARE LLC | 12011 Lee Jackson Memorial Hwy, Fairfax, Virginia 22033-3357 |
Street Address |
12011 LEE JACKSON MEMORIAL HWY SUITE 102 |
City | FAIRFAX |
State | VA |
Zip Code | 22033-3310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831171800 | Jason Mark Rashkin | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2005-11-16 |
1376013391 | Nan Liu | Acupuncturist | 12011 Lee Jackson Memorial Hwy, Suite #320, Fairfax, VA 22033 | 2018-12-03 |
1982195939 | Eduardo Jose Dominguez | Specialist/Technologist, Other | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2018-05-25 |
1033535778 | Bnm, Inc. | Pediatrics | 12011 Lee Jackson Memorial Hwy, Suite 220, Fairfax, VA 22033-3310 | 2014-03-05 |
1962836072 | Rk Dental Care | Dentist | 12011 Lee Jackson Memorial Hwy, Suite 502, Fairfax, VA 22033-3310 | 2013-08-26 |
1932447463 | Health Connect Ipa | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Suite 504, Fairfax, VA 22033-3310 | 2013-01-17 |
1346591989 | Komal S. Karmacharya | Dentist | 12011 Lee Jackson Memorial Hwy, Suite 502, Fairfax, VA 22033-3310 | 2012-09-23 |
1598044042 | Oladapo Michael Onijala | Pharmacist | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2011-08-15 |
1972750032 | Rahmatullah Ishaqzay | Clinic/Center | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2008-08-20 |
1215193529 | Constantine Tziros | Internal Medicine | 12011 Lee Jackson Memorial Hwy, Penderbrook Medical Center, Fairfax, VA 22033-3310 | 2008-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
Find all providers in zip 22033 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114292737 | Eyecare Center Corp | Clinic/Center | 4229 Jefferson Oaks Cir, K, Fairfax, VA 22033-4071 | 2012-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235730698 | Richmond Vamc | Clinic/Center | 7702 E Parham Rd Ste 201, Richmond, VA 23294-4372 | 2020-11-03 |
1629448469 | Hampton Vamc | Clinic/Center | 1987 S Military Hwy, Chesapeake, VA 23320-4422 | 2015-10-06 |
1609250455 | Safe Hands Home Health Care LLC | Clinic/Center | 116 Nancy Dr Apt W1, Suffolk, VA 23434-4894 | 2015-07-11 |
1316335680 | Mountain Home Vamc | Clinic/Center | 32613 Wilderness Road, Suite 101, Jonesville, VA 24263-9998 | 2015-01-08 |
1497143531 | Mountain Home Vamc | Clinic/Center | 4451 Lee Highway, Marion, VA 24354-9998 | 2014-12-23 |
1306234448 | Mountain Home Vamc | Clinic/Center | 1941 Lover's Gap Lane, Suite A, Vansant, VA 24656-9998 | 2014-12-23 |
1427353614 | Ardis Dentistry | Clinic/Center | 1445 Johnston Willis Drive, Suite A, Cjw Medical Center, Richmond, VA 23235-4885 | 2011-01-19 |
1124337258 | Danny J. Minor, D.c.,p.c. | Clinic/Center | 936 Park Ave Nw, Norton, VA 24273-1821 | 2010-10-07 |
1598072902 | Richmond Vamc | Clinic/Center | 1746 E Atlantic St, Emporia, VA 23847-6584 | 2010-09-07 |
1194995241 | Hampton Vamc | Clinic/Center | 244 Clearfield Ave, Suite 401, Virginia Beach, VA 23462-1816 | 2008-03-05 |
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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.