AXIOM HEALTH CORPORATION (NPI# 1700129194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700129194 |
| Entity Type | Organization |
| Organization Name | AXIOM HEALTH CORPORATION |
| Practice Address |
9707 Signal Ct Manassas VA 20111-2505 |
| Practice Telephone | 7034594773 |
| Mailing Telephone | 7034594773 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | MS. MARINA SUSANA ABAD (CEO) |
| Authorized Official Telephone | 7034594773 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0024167755 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BOARD OF NURSING, NURSE PRACTITIONER LICENSE | 0024167755 | 01 |
| DEA | MA1767221 | 01 | |
| VA | NPI | 1912174855 | 01 |
| Street Address |
9707 SIGNAL CT |
| City | MANASSAS |
| State | VA |
| Zip Code | 20111-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912174855 | Marina S Abad | Nurse Practitioner | 9707 Signal Ct, Manassas, VA 20111-2505 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811333685 | Kay Dental Care Associates PC | Dentist | 8393 Centreville Rd, Manassas, VA 20111 | 2013-05-20 |
| 1891080727 | Jatinder Kaler | Dentist | 8393 Centreville Road, Manassas, VA 20111 | 2011-06-20 |
| 1841511417 | Michelle Elaine Wade | Counselor | 9254 Kristy Dr, Manassas Park, VA 20111 | 2010-06-18 |
| 1467789123 | Dr. Stephanie M. Lee & Associates | Optometrist | 9405 Liberia Avenue, Manassas, VA 20111 | 2009-11-17 |
| 1457566903 | T James Batistas Dds Pllc | Dentist | 9110 Railroad Drive, Suite 201, Manassas Park, VA 20111 | 2007-05-10 |
| 1205058880 | Mp Dental Associates Dds PC | Dentist | 7806 Centreville Road, Manassas, VA 20111 | 2007-05-03 |
| 1255494027 | Joseph M. Arzadon, Md, Dds, PC | Dentist | 9110 Railroad Dr, Suite 100, Manassas Park, VA 20111 | 2006-12-19 |
| 1962415687 | Mea Young Lee | Optometrist | 9405 Liberia Ave, Manassas, VA 20111 | 2006-08-14 |
| 1194766519 | Tarie Gresham Todman | Pharmacist | 7900 Scully Ct, Manassas, VA 20111 | 2006-06-09 |
| 1053415729 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 7500 Centreville Rd, Manassas Park, VA 20111-1743 | 2006-09-12 |
| Find all providers in zip 20111 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1972892065 | Manassas Primary Care, LLC | Clinic/Center | 8428 Dorsey Cir, Suite 101, Manassas, VA 20110-8302 | 2011-03-29 |
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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.