POTOMAC PAIN AND WELLNESS CENTER INC (NPI# 1679985816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679985816 |
| Entity Type | Organization |
| Organization Name | POTOMAC PAIN AND WELLNESS CENTER INC |
| Practice Address |
7535 Little River Tpke Suite 100c Annandale VA 22003-2937 |
| Practice Telephone | 7036421004 |
| Mailing Telephone | 7036421004 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |
| Authorized Official Name | MS. EUNHEE LEE (CEO) |
| Authorized Official Telephone | 7036421004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
7535 LITTLE RIVER TPKE SUITE 100C |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487756441 | Jae Kwon Bok | Dentist | 7535 Little River Tpke, # 100 E, Annandale, VA 22003-2937 | 2006-09-01 |
| 1609311166 | Dwight Kim | Acupuncturist | 7535 Little River Tpke, 103a, Annandale, VA 22003-2937 | 2016-12-19 |
| 1760882013 | Ace Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7535 Little River Tpke, #100 C, Annandale, VA 22003-2937 | 2014-08-23 |
| 1073920534 | Imc Group Inc | Internal Medicine | 7535 Little River Tpke, Suite 100c, Annandale, VA 22003-2937 | 2014-07-16 |
| 1164841045 | Rebecca Cho | Registered Nurse | 7535 Little River Tpke, #310-a, Annandale, VA 22003-2937 | 2014-04-08 |
| 1932524378 | Acolytes Home Health Care,llc | Home Health | 7535 Little River Tpke, Annandale, VA 22003-2937 | 2014-02-21 |
| 1437438918 | Crosspoint Dental Care PC | Dentist | 7535 Little River Tpke, Suite 310-c, Annandale, VA 22003-2937 | 2011-08-15 |
| 1508162462 | Aurea B Sanzetenea | Nurse Practitioner | 7535 Little River Tpke, Suite 100 A,b,c, Annandale, VA 22003-2937 | 2011-02-09 |
| 1164692448 | Jae Kwon Bok Dds PC | Dentist | 7535 Little River Tpke, 100-e, Annandale, VA 22003-2937 | 2008-03-03 |
| 1043490444 | Soo Rhee | Acupuncturist | 7535 Little River Tpke, Suite 210a, Annandale, VA 22003-2937 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633963 | Life Over Pain Neuropathy Center LLC | Clinic/Center | 11039 Hull Street Rd, Midlothian, VA 23112-3254 | 2020-06-16 |
| 1679089957 | Seoul Acupuncture Clinic LLC | Clinic/Center | 13880 Braddock Rd Ste 105, Centreville, VA 20121-2460 | 2017-12-21 |
| 1598910317 | Ace Care, LLC | Clinic/Center | 900 S Washington St Ste 303, Falls Church, VA 22046-4034 | 2008-11-20 |
| 1669656971 | Painrehab | Clinic/Center | 2823 Duke St, Alexandria, VA 22314-4512 | 2007-12-21 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1023640349 | Ultimate Clinic LLC | Clinic/Center | 1437 Sams Dr Ste 122, Chesapeake, VA 23320-4587 | 2020-02-05 |
| 1407357072 | Four Seasons Acupuncture & Wellness | Clinic/Center | 11130 Fairfax Blvd Ste 204, Fairfax, VA 22030-5035 | 2018-02-28 |
| 1588112395 | Laura Elizabeth Dorsett | Clinic/Center | 6829 Elm St Ste 300, Mc Lean, VA 22101-3845 | 2016-09-21 |
| 1518317965 | Tyson's Pain Center, P.C. | Clinic/Center | 8133 Leesburg Pike, Suite 305, Vienna, VA 22182-2751 | 2016-06-16 |
| 1801139308 | Healing Hands of Virgionia | Clinic/Center | 7025 Old Jahnke Rd, Richmond, VA 23225-4126 | 2013-04-03 |
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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.