POTOMAC INOVA HEALTHCARE ALLIANCE, LLC (NPI# 1962676593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962676593 |
| Entity Type | Organization |
| Organization Name | POTOMAC INOVA HEALTHCARE ALLIANCE, LLC |
| Other Organization Name | WOODBRIDGE PET/CT |
| Practice Address |
2296 Opitz Blvd Suite 140 Woodbridge VA 22191-3300 |
| Mailing Address |
2990 Telestar Ct Suite 3pi Falls Church VA 22042-1207 |
| Practice Telephone | 7036709063 |
| Practice Fax Number | 7036709065 |
| Mailing Telephone | 5714235727 |
| Mailing Fax Number | 5714235702 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | COLLEEN HUELSKAMP (PROJECT MANAGER) |
| Authorized Official Telephone | 7032046371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodbridge PET/CT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710151402 | Potomac Inova Healthcare Alliance, LLC | Clinic/Center | 4001 Prince William Pkwy, Woodbridge, VA 22192-7630 | 2008-04-15 |
| Street Address |
2296 OPITZ BLVD SUITE 140 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254263 | Robert A Sikora Jr. | Allergy & Immunology | 2296 Opitz Blvd, Ste 401, Woodbridge, VA 22191-3347 | 2005-06-09 |
| 1730536921 | Janet O'connor | General Practice | 2296 Opitz Blvd, #255, Woodbridge, VA 22191-3300 | 2016-05-18 |
| 1134545775 | Sentara Medical Group | Psychiatry & Neurology | 2296 Opitz Blvd, Ste 290, Woodbridge, VA 22191-3300 | 2014-03-06 |
| 1093075319 | Sentara Medical Group | Surgery | 2296 Opitz Blvd, Ste 260a, Woodbridge, VA 22191-3300 | 2012-05-21 |
| 1740561471 | Andrew V. Kriegel, Md, LLC | Plastic Surgery | 2296 Opitz Blvd, Suite 210, Woodbridge, VA 22191-3300 | 2011-09-08 |
| 1063734820 | Morteza S. Mousavi, M.d., P.C. | Specialist | 2296 Opitz Blvd, Suite 340, Woodbridge, VA 22191-3300 | 2010-02-22 |
| 1588896625 | Jennifer Leigh Folks | Nurse Practitioner | 2296 Opitz Blvd, #440, Woodbridge, VA 22191-3300 | 2009-08-21 |
| 1003051897 | Potomac Pediatrics, P.C. | Clinic/Center | 2296 Opitz Blvd, Suite 510, Woodbridge, VA 22191-3300 | 2008-12-08 |
| 1861657488 | Nilay Gandhi | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2008-07-23 |
| 1528229622 | Steven Nakao | Surgery | 2296 Opitz Blvd, Ste 260, Woodbridge, VA 22191-3300 | 2008-06-20 |
| Find all providers in the same location | ||||
| 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 | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765775 | Sonocardio Imaging and Staffing, Inc | Clinic/Center | 6850 Richmond Hwy Apt 542, Alexandria, VA 22306-1770 | 2018-09-25 |
| 1649422742 | Medical Imaging of Richmond, LLC | Clinic/Center | 8921 Three Chopt Rd Ste 104, Richmond, VA 23229-4601 | 2008-10-21 |
| 1699961565 | Vision Mobile X-ray Services | Clinic/Center | 2609 Brook Stone Dr, Chesapeake, VA 23321-2408 | 2007-09-24 |
| 1720274780 | Central Virginia Mobile Ultrasound, Inc | Clinic/Center | 215 Fox Ln, Louisa, VA 23093-6148 | 2007-09-23 |
| 1700935913 | B & B Technology, Inc. | Clinic/Center | 609 S Glebe Rd, Arlington, VA 22204-2452 | 2007-01-09 |
| 1932293628 | Vital Signs Imaging and Diagnostics, LLC | Clinic/Center | 7702 Leesburg Pike, Suite Ll, Falls Church, VA 22043-2600 | 2006-10-03 |
| 1225067358 | Express Techs Mobile X-ray | Clinic/Center | 5400 Newbys Bridge Rd, Chesterfield, VA 23832-7535 | 2006-07-01 |
| 1326083627 | Virginia Mobile X-ray Services, Inc | Clinic/Center | 4112 Fitzhugh Ave, Richmond, VA 23230-3827 | 2006-06-19 |
| 1316981160 | Ultrasound Imaging of Va, Inc. | Clinic/Center | 7108 Fernwood St, Richmond, VA 23228-4001 | 2006-06-15 |
| 1306490222 | Pdi Health Va LLC | Clinic/Center | 7400 Beaufont Springs Dr, North Chesterfield, VA 23225-5556 | 2019-07-29 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
Please comment or provide details below to improve the information on POTOMAC INOVA HEALTHCARE ALLIANCE, LLC.
| 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.