Active NPI 1801894290 Individual Practitioner Male Practitioner

Dr. Mitchell E. Stashower , MD

Specialist • Fairfax, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Stashower, MD is a certified Specialist practicing in Fairfax, VA. With approximately 34 years of clinical experience since graduating from Georgetown University School Of Medicine in 1992, Dr. Stashower delivers high-quality medical care to the local community at 3700 JOSEPH SIEWICK DR.

Dr. Stashower is affiliated with The Clinical Skin Center Of Northern Virginia Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, pathology examination of specimen during surgery, first tissue block, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3700 Joseph Siewick Dr
Suite 404

Fairfax, VA 220331745

Telephone 7036208900

Fax 7036202288

Associated Practice Facility / Clinic

🏢 The Clinical Skin Center Of Northern Virginia Pllc Facility NPI 1700887387

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fairfax, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +3.8 yrs vs City Avg

City Avg: 30.2 Yrs

State Avg: 37.5 Yrs

Regional Practice Density

58 Specialists

Practicing in Fairfax, VA (878 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stashower (34 Years) 34 Yrs

Fairfax Specialty Average (30.2 Years) 30.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,142	420	$30.00	$8.05
88331 Pathology examination of specimen during surgery, first tissue block	1,035	681	$150.00	$119.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	716	612	$195.00	$148.76
17000 Destruction of skin growth	621	514	$120.00	$60.67
17110 Destruction of up to 14 skin growths	283	265	$150.00	$122.38
99213 Established patient office or other outpatient visit, typically 15 minutes	212	196	$125.00	$105.67
17004 Destruction of precancer skin growth, 15 or more growths	121	88	$327.00	$201.26
88342 Special stained specimen slides to examine tissue, initial procedure	114	107	$200.00	$128.83
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	95	89	$194.25	$126.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$215.00	$190.81
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	87	80	$237.51	$153.27
88341 Special stained specimen slides to examine tissue	69	46	$196.00	$110.41
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	64	58	$250.40	$131.59
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	45	43	$180.00	$148.38
11104 Punch biopsy, first skin growth	42	42	$300.00	$147.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	19	$30.00	$0.97
88312 Special stained specimen slides to identify organisms including interpretation and report	31	31	$150.00	$137.71
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	23	$288.96	$149.68
88305 Pathology examination of tissue using a microscope, intermediate complexity	24	24	$200.00	$85.46
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	17	$319.11	$186.58
11102 Tangential biopsy of single skin lesion	16	16	$250.00	$102.28
17111 Destruction of skin growth, 15 or more growths	15	15	$180.00	$149.68
11900 Injection into skin growth, 1-7 growths	12	12	$79.00	$57.09
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	12	$208.10	$91.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,505	462	$30.00	$8.02
88331 Pathology examination of specimen during surgery, first tissue block	1,082	672	$150.00	$118.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	852	715	$195.00	$145.43
17000 Destruction of skin growth	749	599	$120.00	$60.60
17110 Destruction of up to 14 skin growths	272	257	$150.00	$124.93
99213 Established patient office or other outpatient visit, typically 15 minutes	234	222	$125.00	$103.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$215.00	$188.62
17004 Destruction of precancer skin growth, 15 or more growths	116	86	$327.00	$201.78
11102 Tangential biopsy of single skin lesion	112	109	$250.00	$104.79
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	103	91	$194.25	$121.64
88342 Special stained specimen slides to examine tissue, initial procedure	93	89	$200.00	$119.13
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	87	77	$237.51	$153.37
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	62	57	$250.40	$123.67
11104 Punch biopsy, first skin growth	58	58	$300.00	$146.24
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	54	51	$180.00	$144.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	27	$30.00	$1.06
88312 Special stained specimen slides to identify organisms including interpretation and report	37	34	$150.00	$135.24
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	32	29	$288.96	$150.80
88341 Special stained specimen slides to examine tissue	30	29	$196.00	$102.97
88305 Pathology examination of tissue using a microscope, intermediate complexity	30	30	$200.00	$83.40
69100 Biopsy of ear	29	26	$139.00	$93.42
17111 Destruction of skin growth, 15 or more growths	28	16	$180.00	$139.05
11103 Biopsy of related skin growth, each additional growth	27	21	$75.00	$55.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$151.00	$128.78
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	20	$319.11	$187.34
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	15	$250.00	$201.86
11900 Injection into skin growth, 1-7 growths	15	14	$79.00	$54.18
11901 Injection into skin growth, more than 7 growths	15	14	$104.00	$68.26
88332 Pathology examination of specimen during surgery, each additional tissue block	14	13	$69.00	$64.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,594	454	$30.00	$8.33
88331 Pathology examination of specimen during surgery, first tissue block	934	600	$150.00	$120.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	855	698	$195.00	$148.60
17000 Destruction of skin growth	705	553	$120.00	$62.02
17110 Destruction of up to 14 skin growths	337	308	$150.00	$124.43
99213 Established patient office or other outpatient visit, typically 15 minutes	246	229	$125.00	$106.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$215.00	$194.28
17004 Destruction of precancer skin growth, 15 or more growths	151	101	$327.00	$206.10
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	148	129	$194.25	$130.61
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	97	83	$237.51	$156.24
88342 Special stained specimen slides to examine tissue, initial procedure	89	89	$200.00	$122.79
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	78	72	$180.00	$152.37
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	74	65	$250.40	$135.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	30	$30.00	$1.16
88341 Special stained specimen slides to examine tissue	47	47	$196.00	$107.79
11104 Punch biopsy, first skin growth	46	44	$300.00	$146.05
88312 Special stained specimen slides to identify organisms including interpretation and report	35	35	$150.00	$138.39
88305 Pathology examination of tissue using a microscope, intermediate complexity	33	33	$200.00	$84.34
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	29	$288.96	$161.22
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	24	$250.00	$204.98
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	23	$319.11	$187.77
17111 Destruction of skin growth, 15 or more growths	25	20	$180.00	$143.94
11901 Injection into skin growth, more than 7 growths	18	17	$104.00	$75.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$151.00	$131.56
11900 Injection into skin growth, 1-7 growths	15	14	$79.00	$52.99
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	14	14	$238.64	$140.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,412	416	$30.00	$8.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	902	711	$195.00	$151.79
88331 Pathology examination of specimen during surgery, first tissue block	780	495	$150.00	$122.67
17000 Destruction of skin growth	688	542	$120.00	$60.82
17110 Destruction of up to 14 skin growths	341	312	$150.00	$124.50
99213 Established patient office or other outpatient visit, typically 15 minutes	223	207	$125.00	$107.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	188	188	$215.00	$195.37
17004 Destruction of precancer skin growth, 15 or more growths	141	97	$327.00	$203.42
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	123	107	$194.25	$133.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	119	39	$30.00	$1.27
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	103	91	$177.38	$152.14
88342 Special stained specimen slides to examine tissue, initial procedure	83	80	$200.00	$128.47
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	78	66	$250.40	$138.06
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	64	54	$237.51	$162.42
11104 Punch biopsy, first skin growth	57	56	$300.00	$154.67
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	40	38	$288.96	$172.12
17111 Destruction of skin growth, 15 or more growths	35	24	$180.00	$155.07
88312 Special stained specimen slides to identify organisms including interpretation and report	34	34	$150.00	$138.24
11102 Tangential biopsy of single skin lesion	31	30	$250.00	$106.30
11901 Injection into skin growth, more than 7 growths	30	22	$104.00	$80.77
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	27	$319.11	$187.58
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	27	$250.00	$208.69
88305 Pathology examination of tissue using a microscope, intermediate complexity	27	27	$200.00	$84.80
88341 Special stained specimen slides to examine tissue	25	24	$196.00	$114.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$151.00	$132.44
11900 Injection into skin growth, 1-7 growths	21	17	$79.00	$45.96
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	16	16	$238.64	$133.85
69100 Biopsy of ear	12	12	$139.00	$96.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,766	346	$30.00	$7.21
88331 Pathology examination of specimen during surgery, first tissue block	654	435	$150.00	$114.87
99213 Established patient office or other outpatient visit, typically 15 minutes	596	515	$125.00	$86.80
17000 Destruction of skin growth	546	454	$120.00	$60.04
17110 Destruction of up to 14 skin growths	253	230	$150.00	$128.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	171	$195.00	$125.96
11104 Punch biopsy, first skin growth	179	168	$300.00	$151.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	169	156	$60.00	$53.61
11102 Tangential biopsy of single skin lesion	168	159	$250.00	$109.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	157	157	$151.00	$124.31
17004 Destruction of precancer skin growth, 15 or more growths	76	64	$327.00	$188.89
11103 Biopsy of related skin growth, each additional growth	54	45	$75.00	$64.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	22	$30.00	$1.43
88342 Special stained specimen slides to examine tissue, initial procedure	37	37	$200.00	$126.61
11105 Punch biopsy, each additional skin growth	36	31	$120.00	$73.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	27	$250.00	$197.73
88312 Special stained specimen slides to identify organisms including interpretation and report	28	28	$150.00	$127.44
88305 Pathology examination of tissue using a microscope, intermediate complexity	25	25	$200.00	$82.52
69100 Biopsy of ear	24	22	$139.00	$103.48
17111 Destruction of skin growth, 15 or more growths	14	11	$180.00	$158.66
11900 Injection into skin growth, 1-7 growths	12	12	$79.00	$54.80
11901 Injection into skin growth, more than 7 growths	12	11	$104.00	$81.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,578	462	$30.00	$6.57
99213 Established patient office or other outpatient visit, typically 15 minutes	827	691	$125.00	$83.56
88331 Pathology examination of specimen during surgery, first tissue block	795	533	$150.00	$110.58
17000 Destruction of skin growth	757	583	$120.00	$58.40
11104 Punch biopsy, first skin growth	303	277	$286.34	$144.69
17110 Destruction of up to 14 skin growths	296	271	$150.00	$118.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	244	225	$60.00	$51.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	233	233	$151.00	$120.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	200	$195.00	$121.86
11102 Tangential biopsy of single skin lesion	208	192	$237.88	$105.43
17004 Destruction of precancer skin growth, 15 or more growths	128	89	$327.00	$175.82
11103 Biopsy of related skin growth, each additional growth	53	47	$74.25	$61.95
11105 Punch biopsy, each additional skin growth	53	50	$112.08	$68.52
88312 Special stained specimen slides to identify organisms including interpretation and report	50	48	$150.00	$117.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	17	$30.00	$1.57
88305 Pathology examination of tissue using a microscope, intermediate complexity	43	42	$200.00	$79.21
88342 Special stained specimen slides to examine tissue, initial procedure	39	38	$200.00	$124.74
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	17	$250.00	$205.52
69100 Biopsy of ear	17	17	$139.00	$94.73
17111 Destruction of skin growth, 15 or more growths	16	13	$180.00	$153.51
11901 Injection into skin growth, more than 7 growths	15	11	$104.00	$71.27
11106 Incision biopsy, first skin growth	12	12	$240.00	$176.82
87205 Special gram or giemsa stain for microorganism	11	11	$12.00	$4.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,536	468	$30.00	$6.17
88331 Pathology examination of specimen during surgery, first tissue block	948	617	$150.00	$110.94
99213 Established patient office or other outpatient visit, typically 15 minutes	889	731	$125.00	$82.31
17000 Destruction of skin growth	782	616	$120.00	$58.14
11100 Biopsy of single growth of skin and/or tissue	509	445	$143.00	$111.21
17110 Destruction of up to 14 skin growths	311	278	$150.00	$129.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	230	206	$60.00	$50.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	203	$195.00	$119.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	205	205	$151.00	$121.87
11101 Biopsy of each additional growth of skin and/or tissue	145	111	$69.00	$36.03
17004 Destruction of precancer skin growth, 15 or more growths	105	80	$327.00	$164.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	56	46	$250.00	$189.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	16	$30.00	$1.74
69100 Biopsy of ear	39	36	$139.00	$101.53
17111 Destruction of skin growth, 15 or more growths	28	21	$180.00	$147.97
88312 Special stained specimen slides to identify organisms including interpretation and report	27	27	$150.00	$114.79
87205 Special gram or giemsa stain for microorganism	18	16	$12.00	$4.91
88342 Special stained specimen slides to examine tissue, initial procedure	15	15	$200.00	$128.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,612	465	$30.00	$6.58
99213 Established patient office or other outpatient visit, typically 15 minutes	978	777	$125.03	$82.30
88331 Pathology examination of specimen during surgery, first tissue block	833	482	$149.90	$109.86
17000 Destruction of skin growth	805	595	$120.00	$59.51
11100 Biopsy of single growth of skin and/or tissue	662	518	$143.00	$109.77
17110 Destruction of up to 14 skin growths	306	272	$150.00	$129.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	238	212	$60.00	$49.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	233	233	$151.00	$121.82
11101 Biopsy of each additional growth of skin and/or tissue	224	160	$69.00	$37.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	213	$195.00	$120.32
17004 Destruction of precancer skin growth, 15 or more growths	176	98	$327.00	$171.06
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	68	65	$250.00	$199.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	29	$30.00	$1.79
69100 Biopsy of ear	34	32	$139.00	$89.83
11900 Injection into skin growth, 1-7 growths	33	23	$79.00	$51.84
88332 Pathology examination of specimen during surgery, each additional tissue block	30	28	$69.00	$60.21
17111 Destruction of skin growth, 15 or more growths	29	19	$180.00	$148.52
87205 Special gram or giemsa stain for microorganism	28	25	$12.00	$5.74
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	20	$650.00	$484.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$350.00	$144.11
88312 Special stained specimen slides to identify organisms including interpretation and report	18	18	$150.00	$115.42
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$550.00	$460.14
36415 Insertion of needle into vein for collection of blood sample	11	11	$20.00	$2.94

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101049818

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

The Clinical Skin Center Of Northern Virginia Pllc

3700 Joseph Siewick Dr, Fairfax, VA 220331745

Phone: 7036208900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Jeffrey Scott , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1174960306

Doctor of Medicine (M.D.)

Emily Thai

Physician Assistant

NPI 1457083230

Chloe Yun , PA-C

Physician Assistant - Medical

NPI 1558042663

Physician Assistant (Certified)

Dr. Kathy Tieu , MD

Dermatology

NPI 1811973951

Doctor of Medicine (M.D.)

Dr. Harry Wyre , MD

Dermatology

NPI 1821096090

Doctor of Medicine (M.D.)

Dr. Andrea Morris , MD

Dermatology

NPI 1912161209

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 20, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2007

Registered at 3700 JOSEPH SIEWICK DR, SUITE 404, FAIRFAX, VA 220331745 (Tel: 7036208900)

📍

Updated Business Mailing Address November 20, 2007

Registered at 3700 JOSEPH SIEWICK DR, SUITE 404, FAIRFAX, VA 220331745 (Tel: 7036208900)

👤

Provider Name / Credentials Updated November 20, 2007

Recorded as MITCHELL STASHOWER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2007

Specialist (License #0101049818 in VA)

🟢

Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Mitchell Stashower. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801894290

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 11, 2005

Last Update: November 20, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3700 Joseph Siewick Dr, Suite 404

Fairfax, VA 220331745

Phone: 7036208900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.