BETHANY SIU (NPI# 1811411655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811411655 |
| Entity Type | Individual |
| Full Name | BETHANY SIU |
| Credential | PA-C |
| Practice Address |
8320 Old Courthouse Rd Ste 100 Vienna VA 22182-3811 |
| Mailing Address |
18517 Denhigh Cir Olney MD 20832-1882 |
| Practice Telephone | 7038105213 |
| Practice Fax Number | 7038105429 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110005860 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1635 N George Mason Dr Ste 310, Arlington, VA 222053616 | 7038105215 | 7038105428 |
| Street Address |
8320 OLD COURTHOUSE RD STE 100 |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003835091 | Nita Sumida | Specialist | 8320 Old Courthouse Rd Ste 100, Vienna, VA 22182-3811 | 2006-07-19 |
| 1548740988 | Erin Philips | Nurse Practitioner | 8320 Old Courthouse Rd Ste 100, Vienna, VA 22182-3811 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134681323 | Samara Rahman | Physician Assistant | 7916 Tyson Oaks Cir, Vienna, VA 22182-3952 | 2019-04-05 |
| 1053882134 | Biniam Abraham | Physician Assistant | 9628 Prelude Ct, Vienna, VA 22182-3340 | 2018-12-16 |
| 1194206128 | Heather Lynn Booth | Physician Assistant | 800 Grand Central Ave Ste 3, Vienna, WV 26105-2150 | 2018-08-28 |
| 1295122620 | Georgeta Sealey | Physician Assistant | 8320 Old Courthouse Rd., Ste 100, Vienna, VA 22182-3811 | 2015-04-23 |
| 1790088227 | Archana Sangha | Physician Assistant | 2236c Gallows Rd Fl 2, Vienna, VA 22182-5200 | 2010-12-06 |
| 1124352075 | Amy Elizabeth Mckee | Physician Assistant | 115 Park Street, Se, Suite 300, Vienna, VA 22180 | 2009-09-24 |
| 1720246986 | Uuganbayar Enebish | Physician Assistant | 115 Park St Se Suite 300, Vienna Family Medicine, Vienna, VA 22180-4653 | 2008-05-23 |
| 1811448327 | Sandra Carina Esteves | Physician Assistant | 8605 Westwood Center Dr, Suite 201, Vienna, VA 22182-2240 | 2016-10-19 |
| 1275087439 | Monica Lancaster Moon | Physician Assistant | 1212 E Union St, Vienna, GA 31092-7545 | 2016-08-05 |
| 1861859910 | Megan Asbury Vaughan | Physician Assistant | 8320 Old Courthouse Rd, Ste 100, Vienna, VA 22182-3811 | 2016-01-20 |
| Find all providers in VIENNA | ||||
Please comment or provide details below to improve the information on BETHANY SIU.
| 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.