THE MEDICAL CLINIC (NPI# 1477885341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477885341 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL CLINIC |
| Other Organization Name | CENTER FOR VEIN RESTORATION |
| Practice Address |
4217 Evergreen Ln Annandale VA 22003-3210 |
| Mailing Address |
12200 Annapolis Rd Ste 225 Glenn Dale MD 20769-9182 |
| Practice Telephone | 3018868363 |
| Practice Fax Number | 3014418806 |
| Mailing Telephone | 3018600930 |
| Mailing Fax Number | 3018090929 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-04-05 |
| Authorized Official Name | SANJIV LAKHANPAL (PRESIDENT) |
| Authorized Official Telephone | 2404601073 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MEDICAL CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0053733 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | MEDICARE ID | G00397 | 01 |
| MD | MEDICARE ID | 893L | 01 |
| Other Name | Type Code |
|---|---|
| Center for Vein Restoration | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801054630 | The Medical Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7500 Hanover Pkwy Ste 205, Greenbelt, MD 20770-2009 | 2008-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | The Medical Clinic Board of the City of Alabaster | 1953 Municipal Way, Alabaster, AL 35007 |
| Virginia Business Entities | THE MEDICAL CLINIC P.A. INC. | 2523 Coxshire Ln, Davidsonville, Maryland 21035 |
| Street Address |
4217 EVERGREEN LN |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686444 | Quan Quoc Nguyen | Internal Medicine | 4217 Evergreen Ln, Annandale, VA 22003-3210 | 2005-08-12 |
| 1619280765 | Quan Q Nguyen Md Ltd | Internal Medicine | 4217 Evergreen Ln, Annandale, VA 22003-3210 | 2010-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| 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 |
|---|---|---|---|---|
| 1356895171 | Sun Medical Center | Specialist | 7700 Little River Tpke # 100b-1, Annandale, VA 22003-2406 | 2016-08-10 |
| 1689907339 | Kathleen Ayers | Specialist | 4700 Medford Dr, Annandale, VA 22003-5443 | 2009-09-14 |
| 1831304989 | Sharon A Jaeckel | Specialist | 6802 Murray Ln, Annandale, VA 22003-1924 | 2007-05-11 |
| 1952487902 | Victoria Lee Oman | Specialist | 440 Elm St E, Annandale, MN 55302-1109 | 2006-10-31 |
| 1609888247 | Raymond Vergne | Specialist | 3301 Woodburn Rd Ste 301, Annandale, VA 22003-1294 | 2006-08-12 |
| 1902811763 | Claus Karl Helbing | Specialist | 4534 John Marr Dr # A, Annandale, VA 22003-3308 | 2006-07-30 |
| 1093731499 | Khairunnisa Masood | Specialist | 3299 Woodburn Rd Ste 350, Annandale, VA 22003-7321 | 2006-07-15 |
| 1285176917 | Loudoun Medical Group, P.C. | Specialist | 3301 Woodburn Rd, Suite 309, Annandale, VA 22003-1229 | 2016-11-11 |
| 1891027892 | Health Builders | Specialist | 7540 Little River Tpke, Suite H, Annandale, VA 22003-2839 | 2010-02-02 |
| 1992940159 | Joseph A Bellanti | Specialist | 6715 Little River Tpke, Annandale, VA 22003-3546 | 2008-12-02 |
| Find all providers in ANNANDALE | ||||
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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.