DOUGLAS TROTT (NPI# 1811297807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811297807 |
| Entity Type | Individual |
| Full Name | DOUGLAS TROTT |
| Credential | CSA |
| Practice Address |
12011 Lee Jackson Hwy Fairfax VA 22033-3335 |
| Mailing Address |
Po Box 221135 Chantilly VA 20153-1135 |
| Practice Telephone | 7032597027 |
| Mailing Telephone | 7033597027 |
| Mailing Fax Number | 7035910005 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3264 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12011 LEE JACKSON HWY |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702617 | Mary Choisser Langford | Nurse Practitioner | 12011 Lee Jackson Hwy, Fairfax, VA 22033-3310 | 2005-07-07 |
| 1013358878 | Health Connect Aco, LLC | Internal Medicine | 12011 Lee Jackson Hwy, Suite 504, Fairfax, VA 22033-3310 | 2013-07-09 |
| 1356617682 | Solomon Hailemichael | Specialist/Technologist, Other | 12011 Lee Jackson Hwy, Fairfax, VA 22033 | 2012-03-30 |
| 1003197955 | Bbf Dental Pllc | Clinic/Center | 12011 Lee Jackson Hwy, Suite 105, Fairfax, VA 22033-3310 | 2011-09-06 |
| 1881975738 | Dental Associates of Northern Virginia Pllc | Clinic/Center | 12011 Lee Jackson Hwy, Suite 105, Fairfax, VA 22033-3310 | 2011-09-06 |
| 1487805958 | Miller Chiropractic of Fair Oaks,pc | Chiropractor | 12011 Lee Jackson Hwy, Suite 100, Fairfax, VA 22033-3310 | 2008-10-02 |
| 1023272382 | Stacy P. Ward-charlerie | Pharmacist | 12011 Lee Jackson Hwy, Fairfax, VA 22033-3310 | 2008-07-16 |
| 1548423643 | Luis I. Quinones | Physician Assistant | 12011 Lee Jackson Hwy, 4th Floor Spine Surgery, Fairfax, VA 22033-3310 | 2008-07-08 |
| 1174717748 | Eliseo Geronimo Senseng | Respiratory Therapist, Certified | 12011 Lee Jackson Hwy, Fairfax, VA 22033-3310 | 2007-08-28 |
| 1437341641 | Roger Louis Marcellin | Dentist | 12011 Lee Jackson Hwy, Suite 503, Fairfax, VA 22033-3310 | 2007-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 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 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| 1306234638 | Metropolitan Surgical Assist | Physician Assistant | 2826 Old Lee Highway, Suite 330, Fairfax, VA 22031 | 2015-01-09 |
| 1356622583 | Tri-state Surgical Associates | Physician Assistant | 10332 Main St # 344, Fairfax, VA 22030-2410 | 2011-09-01 |
| 1417253816 | Esam Al Nouman | Physician Assistant | 2903 Roseline Rd, Fairfax, VA 22033-5602 | 2011-02-02 |
| 1427406727 | Peggy Vollstad | Physician Assistant | 3023 Hamaker Ct, Suite 200, Fairfax, VA 22031-2207 | 2016-05-26 |
| 1700234325 | Louis Kalisch | Physician Assistant | 10332 Main St # 344, Fairfax, VA 22030-2410 | 2016-05-25 |
| 1205242419 | Megan Condrey | Physician Assistant | 2826 Old Lee Hwy, Ste. 330, Fairfax, VA 22031-4323 | 2014-07-08 |
| 1548423643 | Luis I. Quinones | Physician Assistant | 12011 Lee Jackson Hwy, 4th Floor Spine Surgery, Fairfax, VA 22033-3310 | 2008-07-08 |
| 1881819498 | Mary Elizabeth Zempolich | Physician Assistant | 3650 Joseph Siewick Dr Ste 200, Fairfax, VA 22033-1712 | 2007-04-17 |
| 1225046303 | Josilu Portella | Physician Assistant | 3620 Joseph Siewick Dr, Suite 406, Fairfax, VA 22033-1756 | 2006-08-04 |
| Find all providers in FAIRFAX | ||||
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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.