DR. WANDA PAK (NPI# 1609804293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609804293 |
| Entity Type | Individual |
| Full Name | DR. WANDA PAK |
| Credential | M.D. |
| Practice Address |
3301 New Mexico Ave Nw Suite 226 Washington DC 20016-3622 |
| Practice Telephone | 2022449404 |
| Practice Fax Number | 2022449403 |
| Mailing Telephone | 2022449404 |
| Mailing Fax Number | 2022449403 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | D 005640 | MD | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | M 32178 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | STATE MEDICAL LICENSE | M 32178 | 01 |
| MD | MARYLAND MEDICAL LICENSE | D005640 | 01 |
| Street Address |
3301 NEW MEXICO AVE NW SUITE 226 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-3622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172174 | Joshua Shigeru Yamamoto | Internal Medicine | 3301 New Mexico Ave Nw, Ste 202, Washington, DC 20016-3627 | 2005-05-30 |
| 1508357906 | Julie Bullard Smallman | Clinical Neuropsychologist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2018-05-22 |
| 1790200715 | Roshni Rao | Clinical Neuropsychologist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2017-08-10 |
| 1326562000 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2017-08-03 |
| 1518401751 | Kathleen Ann Hughes | Physical Therapist | 3301 New Mexico Ave Nw, Suite 318, Washington, DC 20016-3622 | 2016-12-07 |
| 1548717135 | Privia Medical Group, LLC | Pain Medicine | 3301 New Mexico Ave Nw, Suite 346, Washington, DC 20016-3622 | 2016-09-01 |
| 1710432810 | Professional Sportscare & Rehab, LLC | Physical Therapist | 3301 New Mexico Ave Nw, Ste 250, Washington, DC 20016-3622 | 2016-08-18 |
| 1851759849 | Julianne Auman | Physical Therapist | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2016-02-04 |
| 1316383151 | Sarah Pozniak | Internal Medicine | 3301 New Mexico Ave Nw, Washington, DC 20016-3622 | 2013-05-20 |
| 1588914980 | Foxhall Medicine, Pllc | Internal Medicine | 3301 New Mexico Ave Nw, Suite 202, Washington, DC 20016-3622 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548720394 | Capital Eye Care LLC | Ophthalmology | 1145 19th St Nw Ste 500, Washington, DC 20036-3715 | 2019-03-20 |
| 1689010779 | Leonard Kogan | Ophthalmology | 2801 New Mexico Nw #320, Washington, DC 20007 | 2013-05-15 |
| 1588907299 | Manal Peracha-riyaz | Ophthalmology | 1160 Varnum St Ne Ste 11, Washington, DC 20017 | 2013-04-01 |
| 1588906465 | Musa R Abdelaziz | Ophthalmology | 660 Pennsylvania Ave. Se., 2nd Flr, Washington, DC 20110 | 2013-03-19 |
| 1538426051 | Frank S. Ashburn IIi | Ophthalmology | 4910 Massachusetts Ave Nw Ste 21, Washington, DC 20016 | 2012-04-20 |
| 1750678413 | Jonca Camille Bull | Ophthalmology | 1428 Juniper St Nw, Washington, DC 20012-1416 | 2011-07-01 |
| 1740576149 | Mitchell Elliott Davis | Ophthalmology | 1601 North Portal Drive Nw, Washington, DC 20012-1012 | 2011-06-23 |
| 1639468960 | Sophia Siyun Wong | Ophthalmology | 2150 Pennsylvania Ave Nw Ste 2a, Washington, DC 20037-3201 | 2011-04-07 |
| 1841520624 | Ronald L Anderson, Md PC | Ophthalmology | 2041 Martin Luther King Jr Ave Se Ste 102, Washington, DC 20020-7033 | 2009-12-30 |
| 1669600649 | Salman J Yousuf | Ophthalmology | 2041 Georgia Ave Nw Ste 2100, Washington, DC 20060-2514 | 2009-06-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
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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.