Edda T Wong
VIRGINIA SPINE INSTITUTE PLC


Address: 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Phone: 7037091114

Edda T Wong (NPI# 1568803476, PAC ID# 5698917763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1568803476
PAC ID by PECOS 5698917763
Professional Enrollment ID I20130820000662
Full Name Edda T Wong
Organization Legal Name VIRGINIA SPINE INSTITUTE PLC
Address 11800 Sunrise Valley Dr
Suite 800
Reston
VA 20191-5300
Phone Number 7037091114
Gender F
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1951396225
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490107 RESTON HOSPITAL CENTER

Other Locations

Address Phone Organization
11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300 7037091114 VIRGINIA SPINE INSTITUTE PLC

Organization Information

Organization Legal Name VIRGINIA SPINE INSTITUTE PLC
Physicians 22

Physicians with the same organization

Name Specialty Organization Address
Steven Michael Papuchis Physical Medicine and Rehabilitation Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Thao N Allen Physician Assistant Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Niteesh Bharara Physical Medicine and Rehabilitation Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Sommer Ebdlahad Neurology Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Laura J Larios Physician Assistant Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Catherine N Cameron Physician Assistant Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Colin M Haines Orthopedic Surgery Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Thomas T. Nguyen Pain Management Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Christopher R Good Orthopedic Surgery Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Ehsan Jazini Orthopedic Surgery Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300

Office Location

Street Address 11800 SUNRISE VALLEY DR
SUITE 800
City RESTON
State VA
Zip 20191-5300

Physicians in the same location

Name Specialty Organization Address
Steven Michael Papuchis Physical Medicine and Rehabilitation Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Jaison W Alderman Physical Therapy Virginia Therapy and Fitness Center 11800 Sunrise Valley Dr, Suite 100, Reston, VA 20191-5309
Thao N Allen Physician Assistant Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Niteesh Bharara Physical Medicine and Rehabilitation Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Richard A Banton Physical Therapy Virginia Therapy and Fitness Center 11800 Sunrise Valley Dr, Suite 100, Reston, VA 20191-5309
Sommer Ebdlahad Neurology Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Laura J Larios Physician Assistant Virginia Spine Institute Plc 11800 Sunrise Valley Dr, Suite 800, Reston, VA 20191-5300
Caitlyn M Kost Physical Therapy Virginia Therapy and Fitness Center 11800 Sunrise Valley Dr, Suite 100, Reston, VA 20191-5309
Gregory J Morris Physical Therapy Virginia Therapy and Fitness Center 11800 Sunrise Valley Dr, Suite 100, Reston, VA 20191-5309
Daniel R Lehnert Physical Therapy Virginia Therapy and Fitness Center 11800 Sunrise Valley Dr, Suite 100, Reston, VA 20191-5309
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Physicians in the same zip code

Name Specialty Organization Address
Eduardo C Noguera Gastroenterology Advanced Digestive Care LLC 11440 Commerce Dr Park, Suite Ll 4, Reston, DC 20191
Janet L Hyman Clinical Social Worker 12050 S Lakes Dr, Reston, VA 20191-1220
Joyce H Souk Clinical Social Worker 12050 S Lakes Dr, Reston, VA 20191-1220
Robert P Rugel Clinical Psychologist 11506 Purple Beech Dr, Reston, VA 20191-1328
Andrew M Axelrad Gastroenterology The Gastroenterology Group, P.C. 1939 Roland Clarke Pl, Suite 200, Reston, VA 20191-1445
Alan J Plotner Gastroenterology The Gastroenterology Group, P.C. 1939 Roland Clarke Pl, Suite 200, Reston, VA 20191-1445
Anita Wolke Gastroenterology The Gastroenterology Group, P.C. 1939 Roland Clarke Pl, Suite 200, Reston, VA 20191-1445
Emil Frank Valle Gastroenterology The Gastroenterology Group, P.C. 1939 Roland Clarke Pl, Suite 200, Reston, VA 20191-1445
Minal Manu Patel Gastroenterology The Gastroenterology Group, P.C. 1939 Roland Clarke Pl, Suite 200, Reston, VA 20191-1445
Shilen V Lakhani Internal Medicine The Gastroenterology Group, P.C. 1939 Roland Clarke Pl, Suite 200, Reston, VA 20191-1445
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Competitor

Search similar physicians

City RESTON
Zip Code 20191
Specialty PHYSICIAN ASSISTANT
City + Specialty RESTON + PHYSICIAN ASSISTANT

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Dataset Information

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.

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