MR. DAVID MICHAEL MAHAN (NPI# 1891861365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891861365 |
| Entity Type | Individual |
| Full Name | MR. DAVID MICHAEL MAHAN |
| Credential | PA |
| Practice Address |
2410 Ndjamena Pl Dulles VA 20189-2410 |
| Mailing Address |
2401 E Street Nw M-med-qi, Sa-1 Washington DC 20522-0001 |
| Practice Telephone | 2026632453 |
| Mailing Telephone | 2026632453 |
| Mailing Fax Number | 2026633247 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103982 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437481413 | David Charles Mahan | Dentist | 1804 E Hamlin St, Seattle, WA 98112-2006 | 2010-02-02 |
| 1912976317 | David L. Mahan | Specialist/Technologist | 400 High School Dr, Boone, NC 28607-7916 | 2006-03-16 |
| 1760638480 | David Alan Mahan | Hearing Instrument Specialist | 18010 Silver Pkwy, Fenton, MI 48430-3421 | 2008-08-13 |
| Street Address |
2410 NDJAMENA PL |
| City | DULLES |
| State | VA |
| Zip Code | 20189-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457526873 | Agnes Ambrosi | Registered Nurse | 2010 Abidjan Pl, Dulles, VA 20189-2009 | 2008-04-27 |
| 1326423260 | John J Welch | Internal Medicine | 2040 Antananarivo Pl, Dulles, VA 20189-2039 | 2015-07-21 |
| 1659456556 | Shane C Pierce | Physician Assistant | 2180 Harare Pl, Dulles, VA 20189-2180 | 2006-10-26 |
| 1881834992 | Lisa J Nelson | Pediatrics | 2330 Maputo Pl, Dulles, VA 20189-2330 | 2009-03-02 |
| 1083079321 | Karen Madrid | Nurse Practitioner | 3230 Lima Pl, Dulles, VA 20189-3230 | 2015-12-30 |
| 1841462892 | Gabriel Szmigiel | Family Medicine | 3460 Santiago Pl, Dulles, VA 20189-3460 | 2008-03-31 |
| 1417578675 | Michelle Patricia Roggero | Nurse Practitioner | 4250 Rangoon Pl, Dulles, VA 20189-4249 | 2020-04-29 |
| 1730505223 | Robyn Luffman | Nurse Practitioner | 5080 Zagreb Pl, Dulles, VA 20189-5080 | 2014-03-09 |
| 1174632715 | Walter Wayne Lucas | Family Medicine | 5270 Budapest Pl, Health Unit, Dulles, VA 20189-5270 | 2006-08-29 |
| 1518105824 | Gabriel Reyes | Specialist | 5270 Budapest Pl, Dulles, VA 20189-5270 | 2009-01-23 |
| Find all providers in zip 20189 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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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.