DR. MARC A KOUYOUMDJIAN (NPI# 1629136999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629136999 |
| Entity Type | Individual |
| Full Name | DR. MARC A KOUYOUMDJIAN |
| Credential | MD |
| Practice Address |
12255 Fair Lakes Pkwy Kaiser Permanente Fair Oaks Medical Center Fairfax VA 22033-3952 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 7039345700 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0101229954 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
12255 FAIR LAKES PKWY KAISER PERMANENTE FAIR OAKS MEDICAL CENTER |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776591 | Michael Scott Wenzel | Family Medicine | 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033-3952 | 2005-08-02 |
| 1962027755 | Saly Damigou Moukdagou | Registered Nurse | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2020-06-08 |
| 1114565298 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2019-12-19 |
| 1013367564 | Andaleeb Rahman | Family Medicine | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2016-06-15 |
| 1689062978 | Thuy-trinh Tran | Pharmacist | 12255 Fair Lakes Pkwy, Pharmacy Department, Fairfax, VA 22033-3952 | 2015-01-08 |
| 1871901645 | Anahita Aminshokravi | Optometrist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2014-07-24 |
| 1609209980 | Urvi P Shah | Physical Therapist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-08-09 |
| 1326381823 | Lujuana Faye Hairston | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-04-03 |
| 1679815708 | Peter Ho | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-03-27 |
| 1306188610 | Kimberly Marie Balaban | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-03-25 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748221 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 11230 Waples Mill Rd Ste 114c, Fairfax, VA 22030-5026 | 2020-04-09 |
| 1134384720 | Bradley Boyd | Orthopaedic Surgery | 3620 Jospeh Siewick Dr Ste 201, Fair Oaks Orthopaedic Associates, Fairfax, VA 22033 | 2008-07-23 |
| 1831289206 | Laurel Claire Blakemore | Orthopaedic Surgery | 3023 Hamaker Ct Ste 200, Fairfax, VA 22031-2240 | 2006-10-13 |
| 1295829893 | Commonwealth Orthopaedics & Rehabilitation, PC | Orthopaedic Surgery | 11240 Waples Mill Road, Suite 403, Fairfax, VA 22030 | 2006-10-03 |
| 1740223932 | Robert A Hymes | Orthopaedic Surgery | 8503 Arlington Blvd Ste 200, Fairfax, VA 22031-4629 | 2006-06-14 |
| 1720088941 | Aram Orthopaedics, P.C. | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2005-07-29 |
| 1114470606 | George Mason University | Orthopaedic Surgery | 4400 University Dr, Fairfax, VA 22030-4422 | 2016-08-01 |
| 1588066740 | Orthovirginia Inc. | Orthopaedic Surgery | 11240 Waples Mill Rd, Suite 403, Fairfax, VA 22030-6078 | 2014-09-19 |
| 1154769040 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030 | 2013-06-12 |
| 1487091534 | Aaron Rich Ducoffe | Orthopaedic Surgery | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2013-05-30 |
| 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.