CARLYLE FAIRFAX HOOFF CASELLA


Address: 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722
Phone: 7035800181

CARLYLE FAIRFAX HOOFF CASELLA (NPI# 1679881486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679881486
Entity Type Individual
Full Name CARLYLE FAIRFAX HOOFF CASELLA
Other Name CARLYLE HOOFF CASELLA
Credential PA
Practice Address 14010 Smoketown Rd
Suite 117
Woodbridge
VA 22192-4722
Practice Telephone 7035800181
Mailing Telephone 7035800181
Enumeration Date 2010-09-15
Last Update Date 2017-04-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110005347 VA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA0000002616 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14010 SMOKETOWN RD
SUITE 117
City WOODBRIDGE
State VA
Zip Code 22192-4722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922094580 Kenneth Neil Josovitz Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 2005-09-20
1639686009 Mahnoor Moin Physician Assistant 14010 Smoketown Rd, Woodbridge, VA 22192-4722 2018-01-05
1922548130 Nitiksha Patel Physician Assistant 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2017-03-07
1548657117 Tina Polley Nurse Practitioner 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2015-04-22
1629462171 Advanced Digestive Care, LLC Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192 2015-03-23
1982097770 Associates In Gastroenterology, PC Nurse Practitioner 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2015-03-18
1609019520 Ali Farhad Kazemi Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2009-04-07
1346403920 Anisha Thadani Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2008-07-03
1326205113 Benjamin Edward Young II Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 2008-05-20
1457546236 Arunan Vamadevan Internal Medicine 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 2007-09-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245873645 Ursula Jackson Technician 3500 Commission Ct, Woodbridge, VA 22192 2019-10-18
1205480779 Ki Soo Park Physical Therapy Assistant 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 2019-08-01
1801448329 Karen Lee Trivett Specialist/Technologist, Other 12584 Darby Brook Court, Woodbridge, VA 22192 2019-07-15
1407313166 Nichele Amelia Thompson Behavioral Analyst 2731 Marblestone Dr, 101, Woodbridge, VA 22192 2019-02-28
1952877870 Kimberly Ann Rojas Vazquez Behavioral Analyst 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 2018-10-18
1104391614 Ykim Dental Dentist 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 2018-10-11
1013418755 Arm Transport Non-emergency Medical Transport (VAN) 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 2018-02-27
1811496813 Francesca Nasi Behavioral Analyst 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 2018-02-05
1942729504 Bismark Transportation Service LLC Non-emergency Medical Transport (VAN) 12341 Woodlawn Court, Woodbridge, VA 22192 2017-09-14
1992226344 Arm Baby Eldery Home Health LLC Home Health 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 2017-07-06
Find all providers in zip 22192

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356854541 Samuel Dogbey Physician Assistant 1990 Old Bridge Rd Ste 201, Woodbridge, VA 22192-2383 2017-11-09
1700201829 Kelly D Thompson Physician Assistant 2296 Opitz Blvd Ste 230, Woodbridge, VA 22191-3345 2014-02-26
1609017441 Kwami Taichi Physician Assistant 15263 Barnabas Trl, Woodbridge, VA 22193-5570 2009-03-06
1164487187 Sean T Robinson Physician Assistant 2022 Opitz Blvd Ste B, Woodbridge, VA 22191-3323 2006-04-20
1023624905 Melissa Haug Physician Assistant 14605 Potomac Branch Dr Ste 300, Woodbridge, VA 22191-3337 2020-09-16
1588204523 Tracy Nguyen Physician Assistant 3985 Prince William Pkwy Ste 102, Woodbridge, VA 22192-7900 2020-01-07
1407417033 Kate Jihee Lee Physician Assistant 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 2019-06-25
1447810197 Grace Carlisle Huggins Physician Assistant 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 2019-06-15
1396217642 Nada Laraki Physician Assistant 2028 Opitz Blvd Ste B, Woodbridge, VA 22191-3326 2018-12-27
1578078697 Abigail Yvonne Runyans Physician Assistant 14605 Potomac Branch Dr Ste 100, Woodbridge, VA 22191-3337 2017-12-12
Find all providers in WOODBRIDGE

Competitor

Search similar providers

City WOODBRIDGE
Zip Code 22192

Improve Information

Please comment or provide details below to improve the information on CARLYLE FAIRFAX HOOFF CASELLA.

Dataset Information

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.

Trending Searches