DR. JOHN ROBERT MINARCIK JR. (NPI# 1750427555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750427555 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT MINARCIK JR. |
| Credential | M.D. |
| Practice Address |
8505 Arlington Blvd Ste 300 Fairfax VA 22031-4630 |
| Mailing Address |
7501 Greenway Center Dr # 300 Greenbelt MD 20770-3514 |
| Practice Telephone | 7036989335 |
| Practice Fax Number | 7032070038 |
| Mailing Telephone | 3014744679 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD37862 | DC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | D0068656 | MD | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 0101244998 | VA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
0101244998 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 021372100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7501 Greenway Center Dr # 300, Greenbelt, MD 207703514 | 3014744679 |
| Street Address |
8505 ARLINGTON BLVD STE 300 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462047 | Amir H Hariri | Ophthalmology | 9702 Stanton Dr, Fairfax, VA 22031-3555 | 2019-05-14 |
| 1467910554 | Samuel H Yun Ophthalmology Plc | Ophthalmology | 3959 Pender Dr Ste 260, Fairfax, VA 22030-6041 | 2019-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993081 | Virginia Retina Consultants, Plc | Ophthalmology | 540 Lew Dewitt Blvd, Suite 5, Waynesboro, VA 22980-1665 | 2014-05-08 |
| 1700976834 | Virginia Retina Consultants, Plc | Ophthalmology | 600 Peter Jefferson Pkwy Ste 350, Charlottesville, VA 22911-8836 | 2006-10-12 |
| 1235172461 | Andy Hay | Ophthalmology | 8717 Digges Road, Manassas, VA 20110 | 2006-06-14 |
| 1770943565 | Virginia Retina Specialists | Ophthalmology | 6400 Arlington Blvd., Suite 600, Falls Church, VA 22042-2349 | 2016-03-07 |
| 1356769731 | Evan M Berger | Ophthalmology | 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 | 2014-04-02 |
| 1033485065 | Brittany Elizabeth Powell | Ophthalmology | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2012-03-23 |
| 1275783235 | Advanced Retina Center, Lc | Ophthalmology | 8233 Old Courthouse Rd, Suite 300, Vienna, VA 22182-3816 | 2008-09-26 |
| 1265691141 | Kori A Elkins | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | 2008-06-05 |
| 1467635862 | Jason P Ruggiero | Ophthalmology | 190 Campus Blvd, Suite 320, Winchester, VA 22601-2872 | 2007-12-10 |
| 1750353140 | John Bocock Carter | Ophthalmology | 190 Campus Blvd, Sute 320, Winchester, VA 22601-2872 | 2006-02-02 |
| Find all providers with the same taxonomy | ||||
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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.