IVAN AKSENTIJEVICH


Address: 4660 Kenmore Ave Ste 1018, Alexandria, VA 22304-1306
Phone: 5714831800

IVAN AKSENTIJEVICH (NPI# 1982672937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982672937
Entity Type Individual
Full Name IVAN AKSENTIJEVICH
Credential M.D.
Practice Address 4660 Kenmore Ave Ste 1018
Alexandria
VA 22304-1306
Mailing Address 3040 Williams Dr
Suite 100
Fairfax
VA 22031-4618
Practice Telephone 5714831800
Practice Fax Number 7038235723
Mailing Telephone 7032083963
Mailing Fax Number 7032056284
Enumeration Date 2006-03-08
Last Update Date 2020-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
0101234651 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA CHOICE CARE 541795091 01
VA PHCS POS/PPO 541795091 01
VA AETNA HMO 3212244 01
VA ONE HEALTH PLAN 541795091 01
VA NCPPO 560987 01
VA UNITED HEALTHCARE 2311042 01
VA BCBS NCA CARE FIRST 08700018 01
VA 1982672937 05
VA ANTHEM/TRIGON 386769 01
VA AETNA PPO 7501495 01
VA MAMSI/ OP CHOICE/ALLIANCE 316256-2107058 01
VA FIRST HEALTH 541795091-2067228 01
VA TRICARE 541795091 01
VA CIGNA HMO/POS/PPO 6252107 01

Office Location

Street Address 4660 KENMORE AVE STE 1018
City ALEXANDRIA
State VA
Zip Code 22304-1306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194133983 Jessica Zullo George Nurse Practitioner 4660 Kenmore Ave Ste 1018, Alexandria, VA 22304-1306 2014-07-24
1134389802 Alina Huang Internal Medicine 4660 Kenmore Ave Ste 1018, Alexandria, VA 22304-1306 2008-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407489768 Anthony Michael Frato Counselor 205 S Whiting St #601, Alexandria, VA 22304 2020-02-14
1245885805 Personal Touch Personal Care Providers, LLC In Home Supportive Care 4241-d8 Duke Street, Alexandria, VA 22304 2019-08-09
1336658772 Jade F. Hillery Doula 5240 Duke St #310, Alexandria, VA 22304 2017-09-28
1447784731 Aymara Matos Behavioral Analyst 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 2017-04-13
1659827871 Tesfaye A Hailemariam Dds PC Dentist 5764 Dow Ave, Alexandria, VA 22304 2016-08-28
1912302605 Alexandria Health Department Clinic/Center 1200 North Howard, Alexandria, VA 22304 2014-10-24
1497157663 Aminata Jalloh Registered Nurse 101 South Whiting St, Alexandria, VA 22304 2014-09-19
1386075133 Carla Renee Riley Registered Nurse 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 2013-12-04
1700223500 Landmark Dental Care Dentist 101 S. Whiting St., Suite 100, Alexandria, VA 22304 2013-06-03
1114266954 Stella M Meusch Physician Assistant 4230 Seminary Rd, Alexandria, VA 22304 2013-02-13
Find all providers in zip 22304

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528326329 Rahul Singh Internal Medicine 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 2012-04-30
1821363219 Oliver Alabaster Internal Medicine 4318 Adrienne Dr, Alexandria, VA 22309-2803 2012-03-19
1518092766 Arjun Sood Internal Medicine 3543 W Braddock Rd Ste 400e, Alexandria, VA 22302-1900 2007-02-21
1942223144 Dennis A Dobrzynski Internal Medicine 5226 Dawes Avenue, Alexandria, VA 22311 2006-07-26
1730162967 Mehrdad Ebadi-tehrani Internal Medicine 5226 Dawes Ave, Alexandria, VA 22311-1404 2005-11-22
1285637314 Bassam Abi-rached Internal Medicine 605b Medical Center Dr, Alexandria, LA 71301-8127 2005-05-23
1134389802 Alina Huang Internal Medicine 4660 Kenmore Ave Ste 1018, Alexandria, VA 22304-1306 2008-06-16
1902088040 Christus Health Central Louisiana Internal Medicine 3330 Masonic Dr, Alexandria, LA 71301-3841 2007-11-30
1114129574 Hematology Oncology Assoc Ltd Internal Medicine 5226 Dawes Avenue, Alexandria, VA 22311 2007-06-05
1639223522 Vinni Juneja Internal Medicine 5226 Dawes Ave, Alexandria, VA 22311-1404 2007-01-22
Find all providers in ALEXANDRIA

Competitor

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City ALEXANDRIA
Zip Code 22304

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Dataset Information

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.

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