BIOGENOMIC MEDICINE INSTITUTE, PLLC (NPI# 1770975096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770975096 |
| Entity Type | Organization |
| Organization Name | BIOGENOMIC MEDICINE INSTITUTE, PLLC |
| Practice Address |
45189 Research Place Suite 150 Ashburn VA 20147 |
| Practice Telephone | 7038942224 |
| Practice Fax Number | 7039972566 |
| Mailing Telephone | 7038942224 |
| Mailing Fax Number | 7039972566 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | NAMEER R. HAIDER (PRESIDENT) |
| Authorized Official Telephone | 7037877638 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD036385 | VA | Allopathic & Osteopathic Physicians |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD036385 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
45189 RESEARCH PLACE SUITE 150 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201349 | Psychiatric Associates of Central Virginia, P.c | Psychiatry & Neurology | 7427 Brook Road, Suite 102, Richmond, VA 23227-1816 | 2019-02-14 |
| 1114288529 | Peter B Breslin | Psychiatry & Neurology | 5540 Falmouth St Ste 103, Richmond, VA 23230-1800 | 2012-06-01 |
| 1508159781 | Ian Arnold Shaffer | Psychiatry & Neurology | 11303 Walnut Creek Ct, Oakton, VA 22124-2044 | 2011-05-23 |
| 1447413885 | Joseph Corbo | Psychiatry & Neurology | 110 Pleasant St Nw, Birch C, Vienna, VA 22180-4308 | 2008-07-07 |
| 1376633610 | Richard Lamont Claytor Jr. | Psychiatry & Neurology | 1625 Franklin St, Rocky Mount, VA 24151-6390 | 2006-10-16 |
| 1396835211 | Cynthia Stegmeier | Psychiatry & Neurology | 2482 Proffit Rd, Charlottesville, VA 22911-5752 | 2006-10-13 |
| 1366414104 | John Florian Riedler | Psychiatry & Neurology | 500 Viking Dr, Suite 200, Virginia Beach, VA 23452-7477 | 2006-02-06 |
| 1669457677 | Thomas Richerson Milam | Psychiatry & Neurology | 2017 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2005-12-13 |
| 1477091247 | Virginia Center for Addiction Medicine | Psychiatry & Neurology | 4212 Park Place Ct, Glen Allen, VA 23060-3314 | 2017-02-01 |
| 1053730358 | Letonia Adams | Psychiatry & Neurology | 2900 Tyler Rd, Christiansburg, VA 24073-6374 | 2014-04-15 |
| 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.