XYZ CLINIC


Address: 17000 Breeze Lane, Fairfax, VA 22033
Phone: 7037772222

XYZ CLINIC (NPI# 1760633283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760633283
Entity Type Organization
Organization Name XYZ CLINIC
Practice Address 17000 Breeze Lane
Fairfax
VA 22033
Practice Telephone 7037772222
Mailing Telephone 7037772222
Enumeration Date 2008-10-02
Last Update Date 2008-10-02
Authorized Official Name JIM SMITH (ADMINISTRATOR)
Authorized Official Telephone 7037772222
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
908832094382904 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 17000 BREEZE LANE
City FAIRFAX
State VA
Zip Code 22033

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1568861904 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 12734 Shoppes Lane, Fairfax, VA 22033 2014-08-21
1649696295 Patrisha Lultschik Nurse Practitioner 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2014-03-06
1912321910 Alyson Huber Nurse Anesthetist, Certified Registered 3600 Joseph Siewick Dr., Fairfax, VA 22033 2014-02-11
1578999314 Aiatulah Surmaty Optometrist 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2013-09-25
1356780928 Ayatallah M. Khafagy Obstetrics & Gynecology 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 2013-06-17
1760726665 Michelle Elise Schwartz Speech-Language Pathologist 3507 Curtice Farm Dr, Fairfax, VA 22033 2012-11-15
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396366555 Sheelon Aghili Physician Assistant 5801 Hampton Forest Way, Fairfax, VA 22030-7254 2020-04-29
1114327087 Bach-duong Dinh Physician Assistant 8316 Arlington Blvd Ste 401, Fairfax, VA 22031-5216 2014-08-28
1184810574 Elizabeth Colella Johnson Physician Assistant 3022 Williams Dr #300, Fairfax, VA 22031 2007-09-19
1548322159 Tsion Tewolde Physician Assistant 3600 Joseph Siewick, Drivefair Oaks Hospitalist Group, Fairfax, VA 22033 2006-12-14
1841307956 Danielle M Landzinski Physician Assistant 10615 Judicial Dr Ste 401, Fairfax, VA 22030-7501 2006-08-24
1902873565 Danielle Ali Layton Physician Assistant 3028 Javier Rd, Suite 300, Fairfax, VA 22031-4622 2006-03-02
1215437413 Caitlin Noelle Fortune Physician Assistant 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 2018-02-15
1396270310 Jessica Nicole Ortega Physician Assistant 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 2017-04-27
1295116952 Faith Saunders Physician Assistant 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 2015-06-17
1144644774 Rachel Kokal Physician Assistant 3025 Hamaker Ct, Suite 300, Fairfax, VA 22031-2237 2014-02-18
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Competitor

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City FAIRFAX
Zip Code 22033

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Dataset Information

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.

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