Myron Shoham (NPI# 1285694083, PAC ID# 9335308832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1285694083 |
| PAC ID by PECOS | 9335308832 |
| Professional Enrollment ID | I20120301000628 |
| Full Name | Myron Shoham |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
201 Park St Se Vienna VA 22180-4644 |
| Phone Number | 7039387100 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 972 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490101 | INOVA FAIR OAKS HOSPITAL |
| 490107 | RESTON HOSPITAL CENTER |
| 490043 | INOVA LOUDOUN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| 201 Park St Se, Vienna, VA 22180-4644 | 7039387100 | 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 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| 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 |
| Street Address |
201 PARK ST SE |
| City | VIENNA |
| State | VA |
| Zip | 22180-4644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert P Sileo | Internal Medicine | 201 Park St Se, Vienna, VA 22180-4661 | |
| Theodore W Fetter | Otolaryngology | 201 Park St Se, Vienna, VA 22180-4644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Cassella | Optometry | Vienna Optometry, LLC | 401 Maple Ave W, Vienna, VA 22180-4222 |
| Sahar Moghadam Emami | Optometry | Vienna Optometry, LLC | 401 Maple Ave W, Vienna, VA 22180-4222 |
| John F Dobricky | Clinical Social Worker | 513 Maple Ave W, Second Floor, Vienna, VA 22180-4229 | |
| Brandon R Lemuel | Chiropractic | 301 Maple Ave W, Suite 515, Vienna, VA 22180-4301 | |
| Hazem A Elariny | General Surgery | 301 Maple Ave W, Suite 330, Vienna, VA 22180-4301 | |
| Seddigheh A Feisee | Internal Medicine | 301 Maple Ave W, Suite 420, Vienna, VA 22180-4301 | |
| Peter J Mcgarry | Chiropractic | Dr Brandon R Lemuel Dc PC | 301 Maple Ave W, Suite 515, Vienna, VA 22180-4301 |
| Mary J Bozzelli | Nurse Practitioner | Endocrine and Diabetes Center P.C. | 301 Maple Ave West, Vienna, VA 22180-4303 |
| Edward G Movius | Internal Medicine | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Ali M Safa | Endocrinology | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Find all physicians in zip 22180 | |||
| City | VIENNA |
| Zip Code | 22180 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | VIENNA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Myron Shoham.
| 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.