DR. TAREQ MASSIMI (NPI# 1962660936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962660936 |
Entity Type | Individual |
Full Name | DR. TAREQ MASSIMI |
Credential | M.D. |
Practice Address |
7723 Spoleto Ln Mc Lean VA 22102-4787 |
Practice Telephone | 4138856942 |
Mailing Telephone | 4138856942 |
Enumeration Date | 2008-05-27 |
Last Update Date | 2014-08-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 233575 | MA | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
247016 | MA | Allopathic & Osteopathic Physicians |
Street Address |
7723 SPOLETO LN |
City | MC LEAN |
State | VA |
Zip Code | 22102-4787 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134686249 | Partnerships In Care Corporation | In Home Supportive Care | 8200 Greensboro Drive, Mclean, VA 22102 | 2019-02-25 |
1124597919 | Choi Ying Hoo | Massage Therapist | 8347a Greensboro Dr, Yulli Therapeutic Healing Center, Tysons Corner Mclean, VA 22102 | 2018-11-21 |
1063998086 | Golden Angel Care LLC | In Home Supportive Care | 1765 Greensboro Station Pl Ste 900, Mc Lean, VA 22102 | 2018-07-12 |
1699278291 | Chukwudi Luke Onwuka | Behavior Technician | 1651 Old Meadow Road Suite 600, Mclean, VA 22102 | 2018-03-10 |
1861901969 | Behavior Health Inc | Psychiatry & Neurology | 8000 Westpark Drive, Suite 140, Mclean, VA 22102 | 2017-09-21 |
1487013504 | Sharon Simon | Nurse Practitioner | 1430 Spring Hill Rd Ste 103, Mc Lean, VA 22102 | 2016-02-17 |
1699130336 | Somatus, Inc. | Case Management | 1861 International Drive Suite 600, Mclean, VA 22102 | 2015-12-23 |
1225388580 | Victoria A Bacsardi | Social Worker | 8008 Westpark Dr Ste 315, Mc Lean, VA 22102 | 2012-09-14 |
1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
1538302047 | Crystal St. Clair | Anesthesiology | 8008 Westpark Dr., Mclean, VA 22102 | 2009-04-14 |
Find all providers in zip 22102 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124670930 | Usa Vein Clinics of Chantilly LLC | Surgery | 3914 Centreville Rd Ste 125, Chantilly, VA 20151-3289 | 2019-07-11 |
1285115998 | Sentara Medical Group | Surgery | 397 Little Neck Rd Ste 110, Virginia Beach, VA 23452-5774 | 2018-08-22 |
1629586417 | Sentara Medical Group | Surgery | 1051 Loftis Blvd Ste 210, Newport News, VA 23606-3069 | 2018-01-16 |
1942724620 | Sentara Medical Group | Surgery | 500 Sentara Cir Ste 100, Williamsburg, VA 23188-5727 | 2017-08-03 |
1972980761 | Carlos Jose Torres-medina | Surgery | 500 J Clyde Morris Blvd # 603, Newport News, VA 23601-1929 | 2015-04-30 |
1306280128 | Justin Marc Milligan | Surgery | 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 | 2013-04-23 |
1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
1346503463 | Mid Atlantic Vascular Holding, LLC | Surgery | 1415 Eastridge Rd, Richmond, VA 23229-5501 | 2012-06-22 |
1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
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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.