JAN PAUL FRUITERMAN MD & ASSOCIATES, PC (NPI# 1710044706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710044706 |
| Entity Type | Organization |
| Organization Name | JAN PAUL FRUITERMAN MD & ASSOCIATES, PC |
| Practice Address |
13880 Braddock Rd Ste 307 Centreville VA 20121-2462 |
| Mailing Address |
13880 Braddock Road, Suite 307 Centreville VA 20121-2438 |
| Practice Telephone | 7034255100 |
| Practice Fax Number | 7034258803 |
| Mailing Telephone | 7034255100 |
| Mailing Fax Number | 7034258803 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAN PAUL FRUITERMAN (PRESIDENT) |
| Authorized Official Telephone | 7034255100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0101029267 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
13880 BRADDOCK RD STE 307 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233256 | Seyed Omid Dianat | Dentist | 13880 Braddock Rd Ste 307, Centreville, VA 20121-2462 | 2020-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710244926 | Samar Benhusen Merriman | Obstetrics & Gynecology | 14701 Lee Hwy Ste 304, Centreville, VA 20121-2135 | 2012-04-12 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1669449435 | Kanwal S Khan | Obstetrics & Gynecology | 14631 Lee Hwy, Suite 405, Centreville, VA 20121-5824 | 2006-03-01 |
| 1851391288 | John Laferla | Obstetrics & Gynecology | 202 Coursevall Dr, Suite 107, Centreville, MD 21617-2804 | 2005-07-28 |
| 1285082016 | Loudoun Medical Group PC | Obstetrics & Gynecology | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2137 | 2016-06-02 |
| 1730574617 | Lara E. Stein | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2015-03-30 |
| 1619260007 | Jessica Jabola | Obstetrics & Gynecology | 13880 Braddock Rd, Suite 307, Centreville, VA 20121-2459 | 2011-05-18 |
| 1033385026 | Neda Hashemi Md PC | Obstetrics & Gynecology | 14701 Lee Hwy, #303, Centreville, VA 20121-2137 | 2008-04-30 |
| 1033145651 | Virginia Gynecologists, Ltd | Obstetrics & Gynecology | 5675 Stone Rd, Centreville, VA 20120-1667 | 2006-06-24 |
| 1609813500 | Southern Illinois Healthcare Foundation Inc | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2006-05-31 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
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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.