CHANTILLY SPECIALISTS, LTD. OF VIRGINIA


Address: 4200 Lafayette Center Dr, Ste R, Chantilly, VA 20151-1241
Phone: 7033783854

CHANTILLY SPECIALISTS, LTD. OF VIRGINIA (NPI# 1497079073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497079073
Entity Type Organization
Organization Name CHANTILLY SPECIALISTS, LTD. OF VIRGINIA
Practice Address 4200 Lafayette Center Dr
Ste R
Chantilly
VA 20151-1241
Practice Telephone 7033783854
Practice Fax Number 7033784909
Mailing Telephone 7033783854
Mailing Fax Number 7033784909
Enumeration Date 2010-03-25
Last Update Date 2011-02-22
Authorized Official Name MR. PAUL BOCCONE (PRESIDENT)
Authorized Official Telephone 7033783854
Authorized Official Credential J.D., LL.M.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376853341 Chantilly Specialists, Ltd. of Virginia Clinical Medical Laboratory 14121 Parke Long Ct, Suite 112, Chantilly, VA 20151-1647 2010-10-08

Office Location

Street Address 4200 LAFAYETTE CENTER DR
STE R
City CHANTILLY
State VA
Zip Code 20151-1241

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1972090389 Wegmans Food Markets, Inc. Pharmacy 14361 Newbrook Dr., Chantilly, VA 20151 2018-04-20
1922526714 Cynthia Anne Biggar Specialist/Technologist 13613 Bare Island Drive, Chantilly, VA 20151 2017-09-01
1497297717 Rebekah Lee Hinders Nurse Practitioner 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 2016-11-17
1043761117 Victoria Ranti Balogun Nurse Practitioner 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 2016-10-24
1619424694 Erin Booker Nurse Practitioner Parke Long Court, Suite 201, Chantilly, VA 20151 2016-09-07
1326419078 Amparo Emilia Kidd Nurse Practitioner 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 2015-10-07
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Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114239639 Mandira N Mehra Pain Medicine 4437 Brookfield Corporate Dr Ste 109, Chantilly, VA 20151-2122 2010-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104380468 Nova Addiction Center Pain Medicine 21135 Whitfield Pl Ste 101, Sterling, VA 20165-7279 2019-01-30
1366952848 Charlottesville Interventional Pain Management LLC Pain Medicine 2050 Abbey Rd Ste A, Charlottesville, VA 22911-3553 2017-10-10
1821338559 Physical Medicine Associates Ltd Pain Medicine 3803 Fairfax Dr, Suite 400, Arlington, VA 22203-5860 2013-02-16
1104163021 Phyllis Jean Justus Pain Medicine 8 Radford St Ste 202, Christiansburg, VA 24073-3341 2013-01-11
1851607287 Jeffrey B. Gogel, D.o. P.C. Pain Medicine 18250 Forest Rd Ste 1, Forest, VA 24551-4688 2010-08-23
1396074704 Minimally Invasive Pain Institute, Pllc Pain Medicine 45189 Research Pl, Suite 140, Ashburn, VA 20147-2694 2009-12-14
1205990983 Tabitha T Garrison Pain Medicine 173 East Springbrook Road, Broadway, VA 22815 2006-12-20
1619056124 David Lee Morgan Pain Medicine 103 Progress St., Pembroke, VA 24136-0487 2006-11-03
1235156084 Samad Oraee Pain Medicine 2050 Old Bridge Rd, Ste 200, Woodbridge, VA 22192-2481 2006-07-17
1356372841 Arlington Palliative Care, Plc Pain Medicine 1635 North George Mason Dr., Suite 115, Arlington, VA 22205-3601 2006-07-05
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Competitor

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City CHANTILLY
Zip Code 20151

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Dataset Information

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.

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