CHARLES J. AZZAM M.D., P.C. (NPI# 1891018057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891018057 |
| Entity Type | Organization |
| Organization Name | CHARLES J. AZZAM M.D., P.C. |
| Other Organization Name | CHARLES J. AZZAM, M.D. |
| Practice Address |
1916 Opitz Blvd Woodbridge VA 22191-3304 |
| Practice Telephone | 7035514113 |
| Practice Fax Number | 7034911019 |
| Mailing Telephone | 7035514113 |
| Mailing Fax Number | 7034911019 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | CHARLES J AZZAM (PRESIDENT) |
| Authorized Official Telephone | 7035514113 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0101041648 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Charles J. Azzam, M.D. | Other Name - Individual/Organization |
| Street Address |
1916 OPITZ BLVD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629046180 | Charles J Azzam | Specialist | 1916 Opitz Blvd, Woodbridge, VA 22191-3304 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578801437 | David Silverstein | Neurological Surgery | 44 Dillon Rd, Woodbridge, CT 06525-1219 | 2013-01-27 |
| 1447308689 | Ashish Gajanan Shanbhag | Neurological Surgery | 14605 Potomac Branch Dr Ste 100, Woodbridge, VA 22191 | 2007-01-06 |
| 1205176856 | Connecticut Orthopaedic Specialists, PC | Neurological Surgery | 1 Bradley Rd, Unit 501-502, Woodbridge, CT 06525-2285 | 2013-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970414 | April Hala | Neurological Surgery | 401 Ashleigh Rd, Purcellville, VA 20132-3059 | 2020-01-04 |
| 1902368483 | Subach Spinal Solutions | Neurological Surgery | 1635 N George Mason Dr Ste 150, Arlington, VA 22205-3679 | 2019-04-03 |
| 1720438245 | Maged D. Fam | Neurological Surgery | Vcuhs Dept of Anesthesiology Residency, 980459, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-06-15 |
| 1568756328 | Venita Marie Simpson | Neurological Surgery | 750 John Paul Jones Circle, Norfolk, VA 23708 | 2011-06-08 |
| 1376833533 | Ameet Chitale | Neurological Surgery | 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031-4867 | 2011-04-08 |
| 1578885034 | General Business Concerns, Inc. | Neurological Surgery | 1039 Mayberry Crossing Dr, Moneta, VA 24121-6413 | 2010-02-24 |
| 1730414749 | Min S Park | Neurological Surgery | 1300 Jefferson Park Ave Fl 3, Charlottesville, VA 22903-3363 | 2009-10-08 |
| 1356515738 | Richard David Murray | Neurological Surgery | 1625 N George Mason Dr Ste 445, Arlington, VA 22205-3684 | 2008-04-17 |
| 1700066842 | Elisa J Kucia | Neurological Surgery | 541 Sunset Ln Ste 305, Culpeper, VA 22701-3979 | 2007-11-06 |
| 1053507764 | Mohammed A Bhatti Md | Neurological Surgery | 18th & 7th Streets Park Ave, Norton, VA 24273 | 2007-09-18 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.