DR. HAMID REZA POURSHOJAE (NPI# 1598751117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598751117 |
| Entity Type | Individual |
| Full Name | DR. HAMID REZA POURSHOJAE |
| Credential | D.O. |
| Practice Address |
3580 Joseph Siewick Dr Ste 205 Fairfax VA 22033-1764 |
| Practice Telephone | 7036203211 |
| Practice Fax Number | 7036203215 |
| Mailing Telephone | 7036203211 |
| Mailing Fax Number | 7036203215 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-10-20 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101239611 | VA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | H0062701 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 20A8669 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 3789 | AZ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0102201710 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2280 Opitz Blvd, Suite 320, Woodbridge, VA 221913362 | 7038787610 | 7038787614 |
| Street Address |
3580 JOSEPH SIEWICK DR STE 205 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659731412 | Colleen L Jurgens | Nurse Practitioner | 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033-1764 | 2016-03-07 |
| 1083033401 | Christopher Michael Manieri | Surgery | 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033-1764 | 2014-04-14 |
| 1437387313 | Patricia Natalie Mcclendon | Family Medicine | 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033-1764 | 2009-06-30 |
| 1518920438 | Rajev Ishwar Nain | Surgery | 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033-1764 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578793212 | Maureen S O'donnell Debritz | Surgery | 3620 Joseph Siewick Dr., Suite 406, Fairfax, VA 22033 | 2009-07-15 |
| 1588837249 | Emergency Surgery, LLC | Surgery | 3133 Barkley Dr, Fairfax, VA 22031-2720 | 2008-04-02 |
| 1871774232 | Chaitanya Krishna Dahagam | Surgery | 8819 Blue Royale Ln, Fairfax, VA 22031-2150 | 2007-11-14 |
| 1861579898 | Kimberly Ann Matzie | Surgery | 2710 Prosperity Ave, Suite 200, Fairfax, VA 22031-4357 | 2006-11-01 |
| 1285743146 | Hernan I Vargas | Surgery | 3650 Joseph Siewick Dr Ste 200, Fairfax, VA 22033-1712 | 2006-08-30 |
| 1134176498 | Teruaki Kodama | Surgery | 8316 Arlington Blvd Ste 602, Fairfax, VA 22031-5216 | 2006-05-30 |
| 1558336081 | Stephanie Akbari | Surgery | 8503 Arlington Blvd Ste 340, Fairfax, VA 22031-4629 | 2006-02-20 |
| 1972582187 | Oswald Felipe Medina | Surgery | 9119 Glenbrook Rd, Fairfax, VA 22031-3010 | 2006-01-16 |
| 1619963139 | Amir Houshang Moazzez | Surgery | 3620 Joseph Siewick Drive, Suite 200, Fairfax, VA 22033 | 2005-09-20 |
| 1417950981 | Timothy Roddy Shaver | Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2005-05-27 |
| Find all providers in FAIRFAX | ||||
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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.