SONIA J MABOUT


Address: 2812 Old Lee Hwy # 100b-d, Fairfax, VA 22031-4315
Phone: 5712796849

SONIA J MABOUT (NPI# 1770610289) 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) 1770610289
Entity Type Individual
Full Name SONIA J MABOUT
Credential PA-C
Practice Address 2812 Old Lee Hwy # 100b-d
Fairfax
VA 22031-4315
Practice Telephone 5712796849
Practice Fax Number 5712818697
Mailing Telephone 5712796849
Mailing Fax Number 5712818697
Enumeration Date 2007-02-28
Last Update Date 2020-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110005904 VA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
0010-01955 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1701 East Blvd, Charlotte, NC 282035823 7043347800 7044147512

Office Location

Street Address 2812 OLD LEE HWY # 100B-D
City FAIRFAX
State VA
Zip Code 22031-4315

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053894493 Natasha Olliver Physician Assistant 8500 Executive Park Ave Ste 200, Fairfax, VA 22031-2228 2018-09-12
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1831692375 Lauren Mackenzie Mason Physician Assistant 3959 Pender Dr Ste 100, Fairfax, VA 22030-6041 2018-03-12
1164949665 Kaitlyn Burns Physician Assistant 3700 Joseph Siewick Dr Ste 404, Fairfax, VA 22033-1745 2017-08-25
1699299628 Mona Yazdani Physician Assistant 2920 District Ave Apt 359, Fairfax, VA 22031-4466 2017-08-01
1518396951 Samantha Hancock Physician Assistant 10721 Main St Ste 200, Fairfax, VA 22030-6913 2013-11-06
1114263613 Shoshana D Katz Physician Assistant 3031 Javier Rd Ste 210, Fairfax, VA 22031-4638 2013-01-02
1396705174 Stephanie Anne Shepard Physician Assistant 2700 Prosperity Ave Ste 270, Fairfax, VA 22031-4321 2006-03-24
1558337048 Paul David Falkenstein Physician Assistant 4080 Chain Bridge Road, Public Safety Occupational Health Center, Fairfax, VA 22030 2006-02-24
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Competitor

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City FAIRFAX
Zip Code 22031

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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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