EVERGREEN NEUROLOGY AND SLEEP CENTER (NPI# 1750870556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750870556 |
| Entity Type | Organization |
| Organization Name | EVERGREEN NEUROLOGY AND SLEEP CENTER |
| Practice Address |
8609 Sudley Rd Ste 204 Manassas VA 20110-4500 |
| Practice Telephone | 7033487207 |
| Practice Fax Number | 7034351844 |
| Mailing Telephone | 7033487207 |
| Mailing Fax Number | 7034351844 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | DR. ISHTIAQ AHMAD (CEO) |
| Authorized Official Telephone | 7033899712 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101260753 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1860 Town Center Dr Ste 320, Reston, VA 201905899 | 7033487207 | 7034351844 |
| Street Address |
8609 SUDLEY RD STE 204 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225692015 | Manassas Addiction Center LLC | Clinic/Center | 8609 Sudley Rd Ste 204, Manassas, VA 20110-4500 | 2019-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154791721 | Jafarpour Neuropain LLC | Psychiatry & Neurology | 9303 Center St, Suite 200, Manassas, VA 20110-1800 | 2015-09-25 |
| 1538397310 | Mohammadhamed Labbaf | Psychiatry & Neurology | 9303 Center St Ste 200, Manassas, VA 20110-1801 | 2009-06-30 |
| 1376618132 | Manassas Neurology Associates Pllc | Psychiatry & Neurology | 8650 Sudley Rd Ste 309, Manassas, VA 20110-4416 | 2006-11-21 |
| 1245237718 | Jonathan Robert Amy | Psychiatry & Neurology | 8650 Sudley Rd, Suite 309, Manassas, VA 20110-4419 | 2005-06-30 |
| 1285185538 | Nmg Affilliate Practice I, LLC | Psychiatry & Neurology | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2016-10-21 |
| 1528265964 | Saumya Nagarajan Gill | Psychiatry & Neurology | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2007-06-29 |
| 1588692586 | Leah Dawn Kroeger | Psychiatry & Neurology | 8650 Sudley Rd, Suite 309, Manassas, VA 20110 | 2006-06-29 |
| 1619956703 | Yvette C Sandoval | Psychiatry & Neurology | 8650 Sudley Rd, Suite 300, Manassas, VA 20110-4419 | 2006-01-17 |
| 1104805290 | Hoda M Hachicho | Psychiatry & Neurology | 8650 Sudley Rd, Suite 300, Manassas, VA 20110-4419 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1790342285 | Neural Network Pllc | Psychiatry & Neurology | 4660 Kenmore Ave Ste 408, Alexandria, VA 22304-1306 | 2019-05-21 |
| 1497226021 | Virginia Beach Neurology Ltd | Psychiatry & Neurology | 968 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3171 | 2018-12-07 |
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1023533718 | Riverside Physician Services Inc. | Psychiatry & Neurology | 659 Hospital Rd Ste 101, Tappahannock, VA 22560-7000 | 2017-08-03 |
| 1407306442 | Virginia Hospital Center Physician Group LLC | Psychiatry & Neurology | 1715 N George Mason Dr Ste 409, Arlington, VA 22205-3665 | 2016-10-13 |
| 1144676701 | Andrew Keith Worthington | Psychiatry & Neurology | 4200 Sulgrave Rd, Richmond, VA 23221-3255 | 2016-05-12 |
| 1043673544 | Northern Virginia Neurology & Headache, Pllc | Psychiatry & Neurology | 7700 Little River Turnpike, Suite 605, Annadale, VA 22003-2400 | 2016-04-01 |
| 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.