OMAR PHILMORE (NPI# 1831562180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831562180 |
| Entity Type | Individual |
| Full Name | OMAR PHILMORE |
| Practice Address |
11240 Waples Mill Rd #202 Fairfax VA 22030-6078 |
| Practice Telephone | 7032372219 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
11240 WAPLES MILL RD #202 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618405 | N & L Enterprise Inc | Durable Medical Equipment & Medical Supplies | 11240 Waples Mill Rd, Ste 306, Fairfax, VA 22030-6078 | 2005-12-01 |
| 1700441177 | Nicholas C. Rehor | Specialist/Technologist | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2019-05-01 |
| 1811453608 | Sara Irandoust | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2019-02-16 |
| 1952873028 | Sajida Perveen Chaudhry | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-12-29 |
| 1598249575 | Loretta Ann Mello | Occupational Therapy Assistant | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-09-17 |
| 1033691811 | Rebecca Learned Lambright | Occupational Therapist | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-08-29 |
| 1205333564 | Susana Rahamatali | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-04-11 |
| 1417457128 | Hosna Hamidi | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-02-19 |
| 1841711702 | Danielle Heim | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2017-06-30 |
| 1245750694 | Michaela Marie Stacy | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841748829 | Katherine Thompson | Specialist | 3525 Mclean Ave, Fairfax, VA 22030-3007 | 2016-09-19 |
| 1932574019 | Tracie Reyes | Specialist | 11240 Waples Mill Rd Ste 100, Fairfax, VA 22030-6078 | 2015-12-01 |
| 1669845236 | Lauren Washington | Specialist | 11240 Waples Mill Rd Ste 301, Fairfax, VA 22030-6078 | 2015-11-04 |
| 1457746513 | Stephanie Bolger | Specialist | 10700 Zion Dr, Fairfax, VA 22032-3432 | 2015-04-05 |
| 1588066096 | Erin Stephenson | Specialist | 12881 Fair Valley Ct, Fairfax, VA 22033-3816 | 2014-09-16 |
| 1609114081 | Rachel Fannell Eisenfeld | Specialist | 10660 Page Ave, Fairfax, VA 22030-4098 | 2013-01-20 |
| 1043563422 | Maryann G Rozzell | Specialist | 3422 Barkley Dr, Fairfax, VA 22031-2724 | 2012-10-22 |
| 1861776551 | Wilbert Aguila | Specialist | 12678 Marcum Ct, Fairfax, VA 22033-2457 | 2011-09-29 |
| 1558692681 | Jacquelyn Lewis | Specialist | 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 | 2010-01-29 |
| 1861679896 | Linda O'toole Glick | Specialist | 11106 Del Rio Dr, Fairfax, VA 22030-5339 | 2008-01-22 |
| 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.