AL-JUBURI UROLOGY, PLLC (NPI# 1407824881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407824881 |
Entity Type | Organization |
Organization Name | AL-JUBURI UROLOGY, PLLC |
Practice Address |
10680 Main St Suite 100 Fairfax VA 22030-3810 |
Practice Telephone | 7036914666 |
Practice Fax Number | 7036912459 |
Mailing Telephone | 7036914666 |
Mailing Fax Number | 7036912459 |
Enumeration Date | 2006-03-10 |
Last Update Date | 2007-11-16 |
Authorized Official Name | DR. AMER ZEKI AL-JUBURI (DOCTOR/MEMBER) |
Authorized Official Telephone | 7036914666 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | AL-JUBURI UROLOGY, PLLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0101044731 | VA | Other Service Providers |
Street Address |
10680 MAIN ST SUITE 100 |
City | FAIRFAX |
State | VA |
Zip Code | 22030-3810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205833910 | Soo Woong Park | Internal Medicine | 10680 Main St, Ste 130, Fairfax, VA 22030-3811 | 2005-07-07 |
1043767874 | Kelly Gallo | Nurse Practitioner | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2016-09-09 |
1801202536 | Care Advantage Inc | Home Health | 10680 Main St, Fairfax, VA 22030-3810 | 2014-07-02 |
1467690743 | T & J Chiropractic Inc | Acupuncturist | 10680 Main St, Suite 275, Fairfax, VA 22030-3810 | 2009-01-26 |
1619075330 | Jong Hee Cho | Chiropractor | 10680 Main St, Suite 275, Fairfax, VA 22030-3810 | 2006-09-20 |
1578570040 | Jamie H Park | Dentist | 10680 Main St, Suite 150, Fairfax, VA 22030-3810 | 2006-08-01 |
1821054933 | James Patrick Kacedan | Obstetrics & Gynecology | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2006-04-26 |
1396729372 | Amer Z Al-juburi | Specialist | 10680 Main St, Suite 100, Fairfax, VA 22030-3810 | 2005-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841748829 | Katherine Thompson | Specialist | 3525 Mclean Ave, Fairfax, VA 22030-3007 | 2016-09-19 |
1932574019 | Tracie Reyes | Specialist | 11240 Waples Mill Rd Ste 100, Fairfax, VA 22030-6078 | 2015-12-01 |
1669845236 | Lauren Washington | Specialist | 11240 Waples Mill Rd Ste 301, Fairfax, VA 22030-6078 | 2015-11-04 |
1457746513 | Stephanie Bolger | Specialist | 10700 Zion Dr, Fairfax, VA 22032-3432 | 2015-04-05 |
1588066096 | Erin Stephenson | Specialist | 12881 Fair Valley Ct, Fairfax, VA 22033-3816 | 2014-09-16 |
1609114081 | Rachel Fannell Eisenfeld | Specialist | 10660 Page Ave, Fairfax, VA 22030-4098 | 2013-01-20 |
1043563422 | Maryann G Rozzell | Specialist | 3422 Barkley Dr, Fairfax, VA 22031-2724 | 2012-10-22 |
1861776551 | Wilbert Aguila | Specialist | 12678 Marcum Ct, Fairfax, VA 22033-2457 | 2011-09-29 |
1558692681 | Jacquelyn Lewis | Specialist | 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 | 2010-01-29 |
1861679896 | Linda O'toole Glick | Specialist | 11106 Del Rio Dr, Fairfax, VA 22030-5339 | 2008-01-22 |
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.