MEDICAL CENTER OF NORTHERN VIRGINIA (NPI# 1902178817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902178817 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER OF NORTHERN VIRGINIA |
| Other Organization Name | MEDICAL CENTER OF NORTHERN VIRGINIA |
| Practice Address |
450 W Broad St Suite 420 Falls Church VA 22046-3340 |
| Practice Telephone | 7035330311 |
| Practice Fax Number | 7035330312 |
| Mailing Telephone | 7035330311 |
| Mailing Fax Number | 7035330312 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | BENJAMIN GOKEL DELE (PRESIDENT) |
| Authorized Official Telephone | 7035330311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Center of Northern Virginia | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Medical Center of Northern Virginia Inc. | 450 West Broad St., Suite 420, Falls Church, Virginia 22046 |
| Street Address |
450 W BROAD ST SUITE 420 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22046-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669435863 | Melissa Anne Mimidis | Speech-Language Pathologist | 450 W Broad St, Suite 215, Falls Church, VA 22046-3340 | 2006-04-10 |
| 1467909259 | Nancy Branberg | Physical Therapist | 450 W Broad St, Suite 417, Falls Church, VA 22046-3340 | 2016-09-08 |
| 1003361569 | Ashley Bridgford | Speech-Language Pathologist | 450 W Broad St, Falls Church, VA 22046-3340 | 2016-08-24 |
| 1841745486 | Rachel Bewley Hicks | Speech-Language Pathologist | 450 W Broad St, Suite 215, Falls Church, VA 22046-3340 | 2016-08-24 |
| 1629410493 | Elizabeth Kathryn Golem | Acupuncturist | 450 W Broad St, Suite #319, Falls Church, VA 22046-3340 | 2013-07-22 |
| 1518307750 | Kirsten Metzger Gilbert | Speech-Language Pathologist | 450 W Broad St, #215, Falls Church, VA 22046-3340 | 2013-07-02 |
| 1518290360 | Jill Karen Wagner | Physical Therapist | 450 W Broad St, Suite 214-a, Falls Church, VA 22046-3340 | 2009-09-11 |
| 1427228931 | Metzger Gilbert Childrens Speech | Speech-Language Pathologist | 450 W Broad St, #215, Falls Church, VA 22046-3340 | 2008-03-11 |
| 1194995084 | Drs. Love and Miller, P.C. | Dentist | 450 W Broad St, Suite 440, Falls Church, VA 22046-3340 | 2008-03-06 |
| 1598933434 | Broad Street Pharmacy Inc | Pharmacy | 450 W Broad St, Ste 120 B, Falls Church, VA 22046-3340 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735794 | Megan Katherine Hassan | Speech-Language Pathologist | 803 West Broad Street, Suite 100, Falls Church, VA 22046 | 2019-11-25 |
| 1205481173 | Michael William Wirtz | Physical Therapist | 510 South Washington Street, Ste. A, Falls Church, VA 22046 | 2019-08-07 |
| 1629636568 | Meaghan A Souza | Physical Therapist | 510 S Washington Street, Suite A, Falls Church, VA 22046 | 2019-06-05 |
| 1619478963 | Teresa Rosas | Dentist | Blvd Fundadores #8417-21, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-22 |
| 1174022974 | Bio Medical Center | Radiology | 3170 General Ferreira, Colonia Madero Sur, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-07 |
| 1558875385 | M & R Taxi Company, Inc. | Non-emergency Medical Transport (VAN) | 1115 West Broad St., Falls Church, VA 22046 | 2017-12-01 |
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1184140501 | Christopher Grivas | Chiropractor | 510 W Annandale Road, Suite 300, Falls Church, VA 22046 | 2017-08-17 |
| 1831562719 | Strategy Anesthesia Virginia, LLC | Anesthesiology | 502 W Broad Street (route 7), Falls Church, VA 22046 | 2015-11-02 |
| 1851762025 | Edward A Stern | Registered Nurse | 201 N Washington Street, C/o Kaiser Permanente, Falls Church, VA 22046 | 2015-10-14 |
| Find all providers in zip 22046 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891939898 | Falls Church Medical Care Center, LLC | Clinic/Center | 3701 S George Mason Dr Ste C1, Falls Church, VA 22041-4722 | 2009-04-22 |
| 1669978300 | Prime Care Physicians LLC | Clinic/Center | 6299 Leesburg Pike Ste C, Falls Church, VA 22044-2101 | 2018-04-02 |
| 1053847699 | Dr Fernandez Family Clinic LLC | Clinic/Center | 2946 Sleepy Hollow Rd, Suite B-basement, Falls Church, VA 22044-2003 | 2017-05-02 |
| 1063806669 | Dev R Chhabra Md Pllc | Clinic/Center | 2841 Hartland Rd Ste 405, Falls Church, VA 22043-3500 | 2015-03-23 |
| 1134480726 | Pham Internal Medicine | Clinic/Center | 6408 Seven Corners Pl Ste F, Falls Church, VA 22044-2011 | 2012-05-31 |
| 1063724227 | Curry & Associates, PC | Clinic/Center | 6231 Leesburg Pike, Suite 200, Falls Church, VA 22044-2102 | 2010-07-04 |
| 1497943476 | Rackenfuse Health, LLC | Clinic/Center | 6305 Castle Pl, Suite 1d, Falls Church, VA 22044-1905 | 2007-10-04 |
| 1861524662 | Medmark Services Inc | Clinic/Center | 6196 Arlington Blvd, Falls Church, VA 22044-2902 | 2007-03-09 |
| 1578643326 | Seven Corners Family Practice | Clinic/Center | 6400 Seven Corners Pl, Suite M, Falls Church, VA 22044-2032 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626478 | Partners In Family Practice LLC | Clinic/Center | 430 Clairmont Ct Ste 123, Colonial Heights, VA 23834-1770 | 2020-10-09 |
| 1730790874 | Janice G. Sadaya-conda M.d., Pllc | Clinic/Center | 6128 Brandon Ave Ste 225, Springfield, VA 22150-2640 | 2020-08-12 |
| 1598375610 | Johnson Venture Management Solutions, Inc. | Clinic/Center | 17 Langley Blvd Bldg 1216, Hampton, VA 23681-2143 | 2020-08-04 |
| 1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
| 1295359883 | Advanced Onsite Care LLC | Clinic/Center | 1045 Robert Welch Ln, Chesapeake, VA 23320-6770 | 2020-05-30 |
| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CHURCH |
| Zip Code | 22046 |
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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.