MR. CLINTON JAMES ADAMS (NPI# 1730421652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730421652 |
| Entity Type | Individual |
| Full Name | MR. CLINTON JAMES ADAMS |
| Credential | PA-C |
| Practice Address |
3985 Prince William Pkwy 102 Woodbridge VA 22192-5099 |
| Practice Telephone | 7035908375 |
| Practice Fax Number | 7035908379 |
| Mailing Telephone | 7035908375 |
| Mailing Fax Number | 7035908379 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110004182 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821430133 | Clinton Omega Adams | Pharmacist | 203 W Lee St, Tuskegee, AL 36083-1719 | 2013-07-28 |
| Street Address |
3985 PRINCE WILLIAM PKWY 102 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-5099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568651768 | Julie Drake Oglesby | Nurse Practitioner | 3985 Prince William Pkwy, Ste. 102, Woodbridge, VA 22192-5010 | 2007-10-24 |
| 1598018384 | Pendar Esmaeili | Chiropractor | 3985 Prince William Pkwy, Suite 101, Woodbridge, VA 22192-5099 | 2012-10-18 |
| 1528325263 | Best Health Services | Clinic/Center | 3985 Prince William Pkwy, Woodbridge, VA 22192-5099 | 2012-04-19 |
| 1316170541 | Nahal Esmaeili | Chiropractor | 3985 Prince William Pkwy, Suite # 101, Woodbridge, VA 22192-5099 | 2009-09-04 |
| 1255565339 | Potomac Internal Medicine,pllc | Family Medicine | 3985 Prince William Pkwy, Suite 102, Woodbridge, VA 22192-5010 | 2009-05-05 |
| 1407026701 | Rita D. Wright | Dentist | 3985 Prince William Pkwy, Suite 103, Woodbridge, VA 22192-5010 | 2008-03-03 |
| 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 Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.