DR. PAUL STANLEY ZIMMONS (NPI# 1851456040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851456040 |
| Entity Type | Individual |
| Full Name | DR. PAUL STANLEY ZIMMONS |
| Credential | MD |
| Practice Address |
8261 Willow Oaks Corporate Dr Fairfax VA 22030-4512 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 7032053600 |
| Practice Fax Number | 7032053650 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D0019984 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD33080 | DC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101026655 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
8261 WILLOW OAKS CORPORATE DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851367254 | Andrea R Giacometti | Radiology | 8261 Willow Oaks Corporate Dr, Kaiser Permanente Imaging Center, Fairfax, VA 22031-4512 | 2006-02-24 |
| 1821118373 | Kaiser Foundation Health of The Plan Mid-atlantic States,inc | Health Maintenance Organization | 8261 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | 2007-03-29 |
| 1730243098 | Abida Nasreen | Radiology | 8261 Willow Oaks Corporate Dr, Kaiser Permenente Imaging Center, Fairfax, VA 22031-4512 | 2006-12-21 |
| 1952462426 | Andrew William Loftus | Radiology | 8261 Willow Oaks Corporate Dr, Kpic, Fairfax, VA 22031-4512 | 2006-12-12 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932367372 | Anjali Malik | Radiology | 3015 Williams Dr Ste 200, Fairfax, VA 22031-4623 | 2008-05-31 |
| 1003822115 | Scott E Cassar | Radiology | 4001 Fair Ridge Drive, Suite 103, Fairfax, VA 22033-2917 | 2006-07-31 |
| 1386658938 | Carole Z Rubin | Radiology | 3022 Williams Drive, Ste 204, Fairfax, VA 22031-4623 | 2006-07-28 |
| 1417989682 | Jay Mitchell Feder | Radiology | 3611 Sweethorn Ct, Fairfax, VA 22033-1226 | 2006-07-07 |
| 1457382368 | Marianne Shih | Radiology | 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4400 | 2006-07-06 |
| 1851367254 | Andrea R Giacometti | Radiology | 8261 Willow Oaks Corporate Dr, Kaiser Permanente Imaging Center, Fairfax, VA 22031-4512 | 2006-02-24 |
| 1841276136 | Albert K Chun | Radiology | 2812 Old Lee Hwy Ste 100b, Fairfax, VA 22031-4315 | 2005-12-19 |
| 1275523805 | Dana A Twible | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2005-10-25 |
| 1699174847 | Saniya Merchant | Radiology | 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4416 | 2014-08-13 |
| 1871836312 | Kiet Trung Nguyen | Radiology | 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 | 2013-04-03 |
| 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.