Stephanie Carter (NPI# 1194111641, PAC ID# 2961709795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194111641 |
| PAC ID by PECOS | 2961709795 |
| Professional Enrollment ID | I20161117000800 |
| Full Name | Stephanie Carter |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
3650 Joseph Swck Dr 205b All Female Obgyn LLC Fairfax VA 22033-1710 |
| Phone Number | 7039353191 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490122 | INOVA MOUNT VERNON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 | 7039353191 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Burcin U Fraser | Allergy/immunology | Privia Medical Group,llc | 1360 Beverly Rd, Suite 103, Mclean, VA 22101-3621 |
| Street Address |
3650 JOSEPH SWCK DR 205B ALL FEMALE OBGYN LLC |
| City | FAIRFAX |
| State | VA |
| Zip | 22033-1710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa D Kelly | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Alexander Nicholas D Sutingco | Emergency Medicine | Fair Oaks Emergency Physicians Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Rene L Ernest | Nurse Practitioner | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Kimberly Barker | Nurse Practitioner | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Ahmed Qureshi | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Suman D Matiana | Family Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Veronica E Johnson | Physician Assistant | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Jennifer Kannan | Physician Assistant | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Sharon L Bachman | General Surgery | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Carmen F Smith | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Find all physicians in zip 22033 | |||
| City | FAIRFAX |
| Zip Code | 22033 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAIRFAX + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.