MANASSAS PRIMARY CARE, LLC (NPI# 1972892065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972892065 |
Entity Type | Organization |
Organization Name | MANASSAS PRIMARY CARE, LLC |
Practice Address |
8428 Dorsey Cir Suite 101 Manassas VA 20110-8302 |
Mailing Address |
9913 Manet Rd Burke VA 22015-3806 |
Practice Telephone | 5713798827 |
Practice Fax Number | 8882244936 |
Mailing Telephone | 7039948845 |
Enumeration Date | 2011-03-29 |
Last Update Date | 2011-09-14 |
Authorized Official Name | DR. NAVDEEP MATHUR (OWNER) |
Authorized Official Telephone | 5713798827 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0101240433 | VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | INDIVIDUAL NPI | 1952346066 | 01 |
Street Address |
8428 DORSEY CIR SUITE 101 |
City | MANASSAS |
State | VA |
Zip Code | 20110-8302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952346066 | Navdeep Mathur | Internal Medicine | 8428 Dorsey Cir, Suite 101, Manassas, VA 20110-8302 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
Find all providers in zip 20110 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821567652 | Balanced Life Chiropractic LLC | Clinic/Center | 9028 Prince William St Ste 2a, Manassas, VA 20110-5664 | 2018-11-21 |
1700129194 | Axiom Health Corporation | Clinic/Center | 9707 Signal Ct, Manassas, VA 20111-2505 | 2013-04-03 |
1598054793 | Comprehensive Occupational Medical Associates of Connecticut PC | Clinic/Center | 9600 Godwin Dr, Manassas, VA 20110-4162 | 2011-03-29 |
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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.