IDEAN AMIRJAZIL (NPI# 1356756795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356756795 |
Entity Type | Individual |
Full Name | IDEAN AMIRJAZIL |
Practice Address |
1870 Amherst St Ste 100 Winchester VA 22601-6254 |
Mailing Address |
230 N Broad St Philadelphia PA 19102-1121 |
Practice Telephone | 5406620306 |
Mailing Telephone | 2157627000 |
Enumeration Date | 2014-06-24 |
Last Update Date | 2020-07-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
29563 | WV | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101268593 | VA | Allopathic & Osteopathic Physicians |
N | 282N00000X | General Acute Care Hospital | MT207582 | PA | Hospitals |
Address | Telephone Number | Fax Number |
---|---|---|
1 Healthy Way, Berkeley Springs, WV 254117463 | 3042581234 | 3042587422 |
1000 N Shenandoah Ave, Front Royal, VA 226303547 | 5406360300 | 5406360427 |
120 Campus Dr Ste 201, Martinsburg, WV 254047552 | 3042649485 | |
1840 Amherst St, Winchester, VA 226012808 | 5405368000 | 5405367780 |
200 Memorial Dr, Luray, VA 228351000 | 5407434561 | 5407439560 |
230 N Broad St, Philadelphia, PA 191021121 | 2157627000 | |
363 Sunrise Blvd, Romney, WV 267574607 | 3048224561 | 3048224951 |
759 S Main St, Woodstock, VA 226641154 | 5404591100 | 5404591121 |
Street Address |
1870 AMHERST ST STE 100 |
City | WINCHESTER |
State | VA |
Zip Code | 22601-6254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679991095 | Swetha Penmasta Alluri | Internal Medicine | 1870 Amherst St Ste 100, Winchester, VA 22601-6254 | 2014-04-02 |
1972102333 | Jessica Nicole Fauver | Nurse Practitioner | 1870 Amherst St Ste 100, Winchester, VA 22601-6254 | 2020-10-18 |
1316412141 | Ansley Madeline Tolley | Nurse Practitioner | 1870 Amherst St Ste 100, Winchester, VA 22601-6254 | 2018-10-08 |
1366944670 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 100, Winchester, VA 22601-6254 | 2018-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
Find all providers in zip 22601 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1679991095 | Swetha Penmasta Alluri | Internal Medicine | 1870 Amherst St Ste 100, Winchester, VA 22601-6254 | 2014-04-02 |
1821366923 | Arrhythmia Specialists, PC | Internal Medicine | 1870 Amherst St., 1-c, Winchester, VA 22601 | 2011-12-05 |
1588780514 | James Carter Laidlaw | Internal Medicine | Mob II, 190 Campus Blvd Suite 430, Winchester, VA 22601-6718 | 2007-03-21 |
1447397906 | Wayne Lawrence Iverson | Internal Medicine | 1300 W Lexington Ave Ste 3, Winchester, KY 40391-1154 | 2007-01-31 |
1316974637 | Mircea M Basaraba | Internal Medicine | 155 Hospital Rd Ste G, Winchester, TN 37398-2495 | 2006-06-26 |
1871559773 | Ajay Virmani | Internal Medicine | 650 Cedar Creek Grade Ste 100, Winchester, VA 22601 | 2006-04-21 |
1841279916 | Juan Pittaluga | Internal Medicine | 817 Cedar Creek Grade, Suite 100, Winchester, VA 22601-2706 | 2006-01-17 |
1871596924 | Philip J O'donnell | Internal Medicine | 104 Selma Dr, Winchester, VA 22601-3834 | 2005-05-23 |
1124554357 | Winchester Physician Associates Inc | Internal Medicine | 1021 Main Street, Suite 1, Winchester, MA 01890 | 2017-05-09 |
1922418185 | Daniel Christian Hobbs | Internal Medicine | 1870 Amherst Street, Suite 100 and Suite 200, Winchester, VA 22601 | 2014-04-28 |
Find all providers in WINCHESTER |
City | WINCHESTER |
Zip Code | 22601 |
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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.