CCRM VIRGINIA (NPI# 1568993855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568993855 |
| Entity Type | Organization |
| Organization Name | CCRM VIRGINIA |
| Practice Address |
8010 Towers Crescent Dr Vienna VA 22182-2710 |
| Practice Telephone | 5717892100 |
| Mailing Telephone | 5717892100 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | DR. MARK PAYSON (PRACTICE DIRECTOR) |
| Authorized Official Telephone | 57178921005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
0101243183 | VA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CCRM Virginia LLC | 3325 Tanterra Circle, Brookeville, Maryland 20833 |
| Street Address |
8010 TOWERS CRESCENT DR |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598297269 | Ccrm Northern Virginia, LLC | Clinic/Center | 8010 Towers Crescent Dr, 5th Floor, Vienna, VA 22182-2710 | 2017-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174987010 | Xiaohong Liu | Obstetrics & Gynecology | 601 Colley Ave Ste 413, Norfolk, VA 23507-1627 | 2016-04-06 |
| 1235497074 | Nicole Doyle | Obstetrics & Gynecology | 8501 Arlington Blvd Ste 500, Fairfax, VA 22031-4631 | 2012-04-30 |
| 1144454166 | Kay Waud | Obstetrics & Gynecology | 4040 Fairfax Dr, Arlington, VA 22203-1613 | 2009-05-05 |
| 1710127907 | Shruti Malik | Obstetrics & Gynecology | 12011 Lee Jackson Memorial Hwy Ste 302, Fairfax, VA 22033-3310 | 2009-02-27 |
| 1437376373 | Jessica H Zaret | Obstetrics & Gynecology | 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 | 2007-04-20 |
| 1942329792 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 448 Viking Dr Ste 100, Virginia Beach, VA 23452-7331 | 2007-03-29 |
| 1669596599 | Susan Sarajari | Obstetrics & Gynecology | 46 S. Glebe Road, Suite 301, Arlington, VA 22204 | 2007-03-17 |
| 1457403107 | Washington Fertility Center PC | Obstetrics & Gynecology | 4316 Evergreen Lane, #l, Annandale, VA 22003 | 2007-01-16 |
| 1306906821 | Francisco M Irianni Md | Obstetrics & Gynecology | 1820 W Plaza Dr, Winchester, VA 22601-6365 | 2006-12-12 |
| 1265528988 | Michael Dimattina | Obstetrics & Gynecology | 46 South Glebe Road #301, Arlington, VA 22204 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
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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.