SOLOMON MAPETO MUTETWA (NPI# 1417146663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417146663 |
| Entity Type | Individual |
| Full Name | SOLOMON MAPETO MUTETWA |
| Credential | MD |
| Practice Address |
5645 Stone Rd Centreville VA 20120-1618 |
| Practice Telephone | 7032662442 |
| Practice Fax Number | 7032667159 |
| Mailing Telephone | 7032662442 |
| Mailing Fax Number | 7032667159 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2009-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101245581 | VA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MT187984 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
5645 STONE RD |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20120-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484461 | Sandor Shawn Niemann | Family Medicine | 5645 Stone Rd, Centreville, VA 20120-1618 | 2005-08-19 |
| 1841821055 | Kiri Kelly Nye | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2020-01-28 |
| 1104278514 | Leah Zimmerman | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2016-07-09 |
| 1376934455 | Brenda Herrera | Family Medicine | 5645 Stone Rd, Centreville, VA 20120-1618 | 2015-02-11 |
| 1679981997 | Catrina Turner | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2014-07-30 |
| 1962843565 | Megan Anne Stuart | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2013-07-11 |
| 1124304936 | Abigail Crisman Ho | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2011-10-25 |
| 1679673255 | Stacey T Shepherd | Physician Assistant | 5645 Stone Rd, Centreville, VA 20120-1618 | 2006-09-24 |
| 1043234552 | Rocky Run Family Medicine Inc | Legal Medicine | 5645 Stone Rd, Centreville, VA 20120-1618 | 2006-07-27 |
| 1326009986 | Robert C Mancini | Family Medicine | 5645 Stone Rd, Centreville, VA 20120-1618 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1033122981 | Charles & Katherine Fischer Dds PC | Dentist | 5895 Trinity Parkway, Suite 200, Centreville, VA 20120 | 2006-08-14 |
| Find all providers in zip 20120 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381299 | Chelsea Burnett | Family Medicine | 208 Pierson Ave # 2918, Centreville, AL 35042-2918 | 2019-11-26 |
| 1972828903 | Corey Andrew Mayer | Family Medicine | 405 Belcher Street, Centreville, AL 35042-2946 | 2010-04-01 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1437243391 | Lutfunnessa Parveen Shafi | Family Medicine | 6201 Centreville Rd Ste 200, Centreville, VA 20121-2626 | 2006-10-03 |
| 1518079243 | Heather L Lucas-foster | Family Medicine | 6010 Bond Ave, Centreville, IL 62207-2328 | 2006-08-31 |
| 1962422337 | John Bryan Waits | Family Medicine | 405 Belcher St, Centreville, AL 35042-2946 | 2006-07-20 |
| 1205862380 | Donald Richard Rhodes | Family Medicine | 5715 Centre Square Dr, Centreville, VA 20120-1916 | 2006-06-23 |
| 1386606085 | Eric F Ciganek | Family Medicine | 629 Railroad Ave, Centreville, MD 21617-1144 | 2006-04-06 |
| 1861488074 | Su Fairchild | Family Medicine | 6138 Redwood Square Ctr Ste 204, Centreville, VA 20121-4264 | 2005-09-22 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20120 |
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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.