BOSTON MEDICAL GROUP- VIRGINIA, P.C. (NPI# 1629496088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629496088 |
| Entity Type | Organization |
| Organization Name | BOSTON MEDICAL GROUP- VIRGINIA, P.C. |
| Practice Address |
4216 King Street Alexandria VA 22302 |
| Practice Telephone | 7038457411 |
| Practice Fax Number | 7038457409 |
| Mailing Telephone | 7038457411 |
| Mailing Fax Number | 7038457409 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | MR. TOM L. LE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8188082828 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
4216 KING STREET |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497907711 | Stephen Xavier Giunta | Plastic Surgery | 4216 King Street, King Street West Office Park, Alexandria, VA 22302 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708288 | Jessica Frances Porzel | Nurse Practitioner | 4700 King St # 100, Alexandria, VA 22302 | 2018-11-07 |
| 1649696584 | Tiffany Edwards | General Acute Care Hospital | 3430 Larchmont Avenue Apt 541, Alexandria, VA 22302 | 2014-03-17 |
| 1396051744 | Cyndi Chan Lam | Pharmacist | 3614 King Street, Alexandria, VA 22302 | 2010-08-24 |
| 1871746206 | Carol Anne Burgess | Nurse Anesthetist, Certified Registered | 4216 King St, Alexandria, VA 22302 | 2008-10-29 |
| 1386892800 | Dr. Catherine P. Nguyen P.C. | Dentist | 5142 Leesburg Pike, Alexandria, VA 22302 | 2008-09-09 |
| 1013172972 | Dr. Tarek Ashmawy Dds | Clinic/Center | 5136 Leesburg Pike, Chantilly, VA 22302 | 2008-07-21 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1205917200 | Roma White Farge | Social Worker | 2202 Minor Street, Alexandria, VA 22302 | 2006-10-17 |
| 1184722746 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1521 1523 N Quaker Lane, Alexandria, VA 22302 | 2006-09-20 |
| Find all providers in zip 22302 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315929 | Potomac Urology Center, P.C. | Urology | 1800 N Beauregard St Ste 300, Alexandria, VA 22311-5879 | 2020-01-15 |
| 1225670961 | Rajendran Ambiavagar | Urology | 4209 Wakefield Blvd, Alexandria, LA 71303-2958 | 2019-10-15 |
| 1275553836 | Gregory M Bernstein | Urology | 1600 N Beauregard St, Suite 300, Alexandria, VA 22311-1704 | 2006-07-19 |
| 1033140637 | Robert Lepine Fontane | Urology | 3311 Prescott Rd Ste 100, Alexandria, LA 71301-3917 | 2006-07-05 |
| 1063491603 | John W Klousia | Urology | 7910 Andrus Rd, Suite 6, Alexandria, VA 22306-3171 | 2006-01-12 |
| 1427036599 | Richard C Rhame | Urology | 1707 Osage St, Suite 301, Alexandria, VA 22302-2607 | 2006-01-09 |
| 1902244171 | Katherine Ann Walker | Urology | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2013-06-11 |
| 1669778080 | John W Klousia Md PC | Urology | 7910 Andrus Rd, Suite 6, Alexandria, VA 22306-3171 | 2011-02-02 |
| 1629396460 | Joshua Holstead | Urology | 3311 Prescott Rd Ste 100, Alexandria, LA 71301-3917 | 2010-05-04 |
| 1487879094 | Cenla Urology Clinic LLC | Urology | 3311 Prescott Rd, Suite 100, Alexandria, LA 71301-3900 | 2007-04-17 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22302 |
Please comment or provide details below to improve the information on BOSTON MEDICAL GROUP- VIRGINIA, P.C..
| 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.