VIRGINIA SPINE SPECIALISTS PLLC (NPI# 1508130246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508130246 |
| Entity Type | Organization |
| Organization Name | VIRGINIA SPINE SPECIALISTS PLLC |
| Practice Address |
8650 Sudley Rd Suite 315 Manassas VA 20110-4419 |
| Practice Telephone | 8557746334 |
| Practice Fax Number | 2707510406 |
| Mailing Telephone | 8557746334 |
| Mailing Fax Number | 2707510406 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Authorized Official Name | MUDIT SHARMA (OWNER) |
| Authorized Official Telephone | 8557746334 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Virginia Spine Specialists PLLC | 2603 Walters Glen Way, Dunn Loring, Virginia 22027 |
| Street Address |
8650 SUDLEY RD SUITE 315 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237718 | Jonathan Robert Amy | Psychiatry & Neurology | 8650 Sudley Rd, Suite 309, Manassas, VA 20110-4419 | 2005-06-30 |
| 1558753293 | Lori Dodd Doyle | Physician Assistant | 8650 Sudley Rd, Suite #310, Manassas, VA 20110-4419 | 2015-03-03 |
| 1386070787 | Justine Mcdermott | Audiologist | 8650 Sudley Rd, Suite 209, Manassas, VA 20110-4419 | 2013-09-18 |
| 1407037500 | Edmund Stephen Petrilli, M.d., P.C. | Obstetrics & Gynecology | 8650 Sudley Rd, Suite 200, Manassas, VA 20110-4419 | 2007-11-16 |
| 1306976709 | George John Bitar | Plastic Surgery | 8650 Sudley Rd, Ste. 203, Manassas, VA 20110-4419 | 2007-03-06 |
| 1073676771 | Robin Elizabeth Brodie | Pediatrics | 8650 Sudley Rd, Suite 306, Manassas, VA 20110-4419 | 2006-12-18 |
| 1346303062 | Pine Grove Pediatrics | Pediatrics | 8650 Sudley Rd, Suite 306, Manassas, VA 20110-4419 | 2006-12-18 |
| 1760545479 | Susan Keller Campbell | Family Medicine | 8650 Sudley Rd, Suite 306, Manassas, VA 20110-4419 | 2006-12-18 |
| 1184707796 | Pwnc PC Corp | Specialist | 8650 Sudley Rd, Suite 300, Manassas, VA 20110-4419 | 2006-10-24 |
| 1104837244 | John P Williams | Surgery | 8650 Sudley Rd, #206, Manassas, VA 20110 | 2006-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285700369 | Mudit Sharma | Neurological Surgery | 8650 Sudley Rd Ste 315, Manassas, VA 20110-4416 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970414 | April Hala | Neurological Surgery | 401 Ashleigh Rd, Purcellville, VA 20132-3059 | 2020-01-04 |
| 1902368483 | Subach Spinal Solutions | Neurological Surgery | 1635 N George Mason Dr Ste 150, Arlington, VA 22205-3679 | 2019-04-03 |
| 1720438245 | Maged D. Fam | Neurological Surgery | Vcuhs Dept of Anesthesiology Residency, 980459, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-06-15 |
| 1568756328 | Venita Marie Simpson | Neurological Surgery | 750 John Paul Jones Circle, Norfolk, VA 23708 | 2011-06-08 |
| 1376833533 | Ameet Chitale | Neurological Surgery | 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031-4867 | 2011-04-08 |
| 1578885034 | General Business Concerns, Inc. | Neurological Surgery | 1039 Mayberry Crossing Dr, Moneta, VA 24121-6413 | 2010-02-24 |
| 1730414749 | Min S Park | Neurological Surgery | 1300 Jefferson Park Ave Fl 3, Charlottesville, VA 22903-3363 | 2009-10-08 |
| 1356515738 | Richard David Murray | Neurological Surgery | 1625 N George Mason Dr Ste 445, Arlington, VA 22205-3684 | 2008-04-17 |
| 1700066842 | Elisa J Kucia | Neurological Surgery | 541 Sunset Ln Ste 305, Culpeper, VA 22701-3979 | 2007-11-06 |
| 1053507764 | Mohammed A Bhatti Md | Neurological Surgery | 18th & 7th Streets Park Ave, Norton, VA 24273 | 2007-09-18 |
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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.