DR. GEOFFREY S KANNAN (NPI# 1578705612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578705612 |
Entity Type | Individual |
Full Name | DR. GEOFFREY S KANNAN |
Credential | PH.D., M.D. |
Practice Address |
6565 Arlington Blvd Suite 200 Falls Church VA 22042-3013 |
Practice Telephone | 7035313627 |
Practice Fax Number | 7035311590 |
Mailing Telephone | 7035313627 |
Mailing Fax Number | 7035311590 |
Enumeration Date | 2009-04-06 |
Last Update Date | 2017-04-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
0101260331 | VA | Allopathic & Osteopathic Physicians |
N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
261866 | MA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
6565 ARLINGTON BLVD SUITE 200 |
City | FALLS CHURCH |
State | VA |
Zip Code | 22042-3013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447234513 | Yasmin Khan | Internal Medicine | 6565 Arlington Blvd, Suite 500, Falls Church, VA 22042 | 2005-12-02 |
1346722717 | Sara Elizabeth Konopka Keefer | Nurse Practitioner | 6565 Arlington Blvd, Falls Church, VA 22042-3013 | 2018-09-03 |
1063961720 | Christopher Mcilvaine | Physical Therapist | 6565 Arlington Blvd, Falls Church, VA 22042-3013 | 2016-09-22 |
1497001374 | Katherine Cooper | Physical Therapist | 6565 Arlington Blvd, Suite 220, Falls Church, VA 22042-3013 | 2012-07-30 |
1073826525 | Capital Area Pediatrics, Inc | Pediatrics | 6565 Arlington Blvd, Suite 210, Falls Church, VA 22042 | 2010-07-26 |
1275850224 | Anjuli Srivastava | Pediatrics | 6565 Arlington Blvd, Ste. 210, Falls Church, VA 22042 | 2010-04-30 |
1699907782 | Advantage Pt Corp. | Physical Therapist | 6565 Arlington Blvd, Suite 220, Falls Church, VA 22042-3013 | 2009-08-21 |
1326291725 | Natalie Kontakos | Family Medicine | 6565 Arlington Blvd, Suite 500, Falls Church, VA 22042-3013 | 2008-10-29 |
1710133939 | Kathleen Jane Moran | Registered Nurse | 6565 Arlington Blvd, Suite 500, Falls Church, VA 22042-3013 | 2008-08-08 |
1033313978 | Robin Yates Dulman | Pediatrics | 6565 Arlington Blvd, Suite 200, Falls Church, VA 22042-3013 | 2007-06-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
Find all providers in zip 22042 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033313978 | Robin Yates Dulman | Pediatrics | 6565 Arlington Blvd, Suite 200, Falls Church, VA 22042-3013 | 2007-06-13 |
1013119320 | Jennifer Beck Dean | Pediatrics | 6565 Arlington Blvd., Ste 200, Falls Church, VA 22042 | 2007-05-31 |
1710965777 | Eva Perdahl-wallace | Pediatrics | 6565 Arlington Blvd, Ste: 200, Falls Church, VA 22042 | 2006-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326244559 | Niccole Piguet | Pediatrics | 8505 Arlington Blvd., Suite 400, Fairfax, VA 22031 | 2007-06-25 |
1215046321 | Michael E Engel | Pediatrics | 1204 West Main Street, Charlottesville, VA 22908-1103 | 2006-08-30 |
1154309136 | Marcie K. Weil | Pediatrics | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2006-01-09 |
1437502994 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 5855 Bremo Rd, Suite 605, Richmond, VA 23226 | 2016-07-20 |
1972923456 | Elizabeth Oaks Krieger | Pediatrics | 1250 E. Marshall St., Po Box 980121, Richmond, VA 23298 | 2014-04-23 |
1619304557 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
1144669078 | Nadirah El-amin | Pediatrics | 1000 E Broad St, Richmond, VA 23219 | 2013-06-25 |
1487991618 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5875 Bremo Rd, Suite 104, Richmond, VA 23226-1934 | 2013-01-08 |
1952669962 | Jordyn Ramsey Griffin | Pediatrics | 1000 E Broad St, Richmond, VA 23219-1930 | 2012-04-26 |
1710121488 | Lara L Riegler | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2009-04-26 |
Find all providers with the same taxonomy |
City | FALLS CHURCH |
Zip Code | 22042 |
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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.