FAMILY MEDICAL CENTER HOLDING LLC (NPI# 1548634678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548634678 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER HOLDING LLC |
| Practice Address |
14904 Jefferson Davis Hwy Ste 205 Woodbridge VA 22191-3908 |
| Practice Telephone | 7034974500 |
| Practice Fax Number | 7034944671 |
| Mailing Telephone | 7034974500 |
| Mailing Fax Number | 7034944671 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | SALLU JABATI (MD/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7034974500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0101240114 | VA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0101240114 | VA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
0101240114 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
14904 JEFFERSON DAVIS HWY STE 205 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295149 | Zack Omar Ali | Counselor | 14904 Jefferson Davis Hwy Ste 205, Woodbridge, VA 22191-3908 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134325632 | Raymond Martin Harrell | Pain Medicine | 14605 Potomac Branch Dr, Suite 100, Woodbridge, VA 22191-3336 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561493 | Margaret Ann Rickman | Pain Medicine | 80 College St Ste E, Christiansburg, VA 24073-2985 | 2020-02-27 |
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1821561382 | Barton Joseph Adams | Pain Medicine | 1899 Oracle Way Apt 428, Reston, VA 20190-6735 | 2019-01-08 |
| 1114496734 | Coastal Virginia Spine and Pain Center LLC | Pain Medicine | 329 Edwin Dr Ste 100, Virginia Beach, VA 23462-4522 | 2018-11-14 |
| 1538427844 | Killpain LLC | Pain Medicine | 45929 Maries Road, Suite 100, Sterling, VA 20166 | 2012-04-25 |
| 1851617120 | Teresa Marie Kerge | Pain Medicine | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2010-04-12 |
| 1114253366 | Spinal Atrs Institute, Pllc | Pain Medicine | 11412 Georgetown Pike, Great Falls, VA 22066-1316 | 2009-10-22 |
| 1538314208 | Qi Lin | Pain Medicine | 1356 Sir Richard Rd, Virginia Beach, VA 23455-4917 | 2008-11-22 |
| 1871767459 | Mark W Newman | Pain Medicine | 223 Bulifants Blvd Ste C, Williamsburg, VA 23188-5734 | 2008-04-15 |
| 1306940028 | Blue Ridge Pain Treatment Centers | Pain Medicine | 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 2006-09-12 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
Please comment or provide details below to improve the information on FAMILY MEDICAL CENTER HOLDING LLC.
| 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.