Family Medicine in ANNANDALE, VA
Last Updated on : Sep 23,2009
MERCEDES QUINTOS-GOMEZ is a Family Medicine provider in ANNANDALE, United States. Her medical specialization is Family Medicine .
1164424388 is NPI number of MERCEDES QUINTOS-GOMEZ.
MERCEDES QUINTOS-GOMEZ's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 0101050098. This taxonomy code refers to Family Medicine.
MERCEDES QUINTOS-GOMEZ has more than 17 years of experience.
MERCEDES QUINTOS-GOMEZ current practice location address is 7617 LITTLE RIVER TPKE, ANNANDALE, VA. MERCEDES QUINTOS-GOMEZ can be reached out via phone at 703-941-1732 and via fax at 703-941-2018 .
You can also correspond with MERCEDES QUINTOS-GOMEZ through mail at mailing address 7617 LITTLE RIVER TPKE, ANNANDALE, VA, United States. Mailing address contact number is 703-941-1732.
The enumeration date of MERCEDES QUINTOS-GOMEZ is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 14 years ago.Basic NPI information of MERCEDES QUINTOS-GOMEZ (NPI 1164424388) is provided below.
Name | MERCEDES QUINTOS-GOMEZ |
---|---|
National Provider Id (NPI) | 1164424388 |
Entity Type | Individual |
Gender | F |
Credential | M.D. |
Practice Address | 7617 LITTLE RIVER TPKE,
STE 710
ANNANDALE, VA, United States |
Practice Telephone | 703-941-1732 |
Practice Fax Number | 703-941-2018 |
Mailing Address | 7617 LITTLE RIVER TPKE ,
STE 710
ANNANDALE, VA, United States |
Mailing Telephone | 703-941-1732 |
Mailing Fax Number | 703-941-2018 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 23-Sep-2009 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 0101050098 | VA |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
0100393 | Other (non-Medicare) (01) | VA | United Healthcare |
1372126 001 | Other (non-Medicare) (01) | VA | Cigna |
225263 | Other (non-Medicare) (01) | VA | Mamsi |
4538843 | Other (non-Medicare) (01) | VA | Aetna |
503665 | Other (non-Medicare) (01) | VA | NCPPO |
601266A67 | MEDICARE ID-Type Unspecified (04) | VA | |
825263 | Other (non-Medicare) (01) | VA | Optimum Choice |
B682 0004 | Other (non-Medicare) (01) | VA | Blue Cross Blue Shield |
F98596 | MEDICARE UPIN (02) | VA |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1245388255 | MARK STEVEN JOHNSON | Dentist | 93 OAK AVENUE SOUTH,
PO BOX 539 ANNANDALE, MN, United States |
08-Jan-2007 |
1447437710 | DAVID GERALD HANSON | Physical Therapist | 500 PARK ST E,
ANNANDALE, MN, United States |
29-Jan-2008 |
1245478890 | KATHY JANE VETTER | Occupational Therapy Assistant | 17753 237TH AVE NW,
BIG LAKE, MN, United States |
04-Feb-2009 |
1972630580 | MELISSA RELLER | Specialist | 9125 50TH ST NW,
ANNANDALE, MN, United States |
28-Feb-2007 |
1780713149 | ANTHONY DAVID HEGGE | Dentist, General Practice | 93 OAK AVE S,
SUITE #3 ANNANDALE, MN, United States |
03-Mar-2007 |
1548431877 | COLLEEN MARIE HEINO | Occupational Therapy Assistant | 14203 71ST ST NW,
ANNANDALE, MN, United States |
14-Mar-2008 |
1568588572 | MICHELLE DARLYNE MCINTEE | Chiropractor | 6773 JENKINS AVE NW,
ANNANDALE, MN, United States |
21-Mar-2007 |
1982929444 | JESSICA LEA KIRCHOFF | Occupational Therapist | 22612 197TH ST NW,
BIG LAKE, MN, United States |
28-Mar-2010 |
1154740181 | LEAH LACKAS | Occupational Therapist | 500 PARK ST E,
ANNANDALE, MN, United States |
07-Apr-2014 |
1952692790 | JASON DOUGLAS MILLER | Pharmacist | 8173 112TH ST NW,
ANNANDALE, MN, United States |
27-Apr-2011 |
1982995627 | SHANNON SHUN | Occupational Therapy Assistant | 2417 MEADOW DR,
BUFFALO, MN, United States |
28-Apr-2011 |
1801848635 | GWEN A STEIN | Psychiatry & Neurology, Psychiatry | 400 ANNANDALE BLVD,
ANNANDALE, MN, United States |
17-May-2006 |
1124554373 | JULLIE HASTINGS | Health Educator | 610 WARREN AVE W,
ANNANDALE, MN, United States |
10-May-2017 |
1730313057 | DIANA LYN FECZER | Nurse Practitioner, Psych/Mental Health | 400 ANNANDALE BLVD,
ANNANDALE, MN, United States |
14-May-2009 |
1326485947 | SHAUNA MARIE PALER | Occupational Therapy Assistant | 1100 MORRISON CIR S,
ANNANDALE, MN, United States |
23-May-2013 |
1942562509 | LAURA BURNS | Social Worker, Clinical | 3642 10TH AVE S APT 2,
MINNEAPOLIS, MN, United States |
11-Jun-2012 |
1134481278 | ANN GROSS | Physical Therapist | 500 PARK ST E,
ANNANDALE, MN, United States |
14-Jun-2012 |
1376704940 | KATIE NICOLE TANCABEL | Optometrist | 500 ELM ST E,
PO BOX 128 ANNANDALE, MN, United States |
17-Jun-2008 |
1144426537 | ERIC RICHARD HEIMKES | Physical Therapist, Ergonomics | 64 MYRTLE AVE S,
ANNANDALE, MN, United States |
22-Jun-2007 |
1952752735 | KATIE ANN MADSEN | Speech-Language Pathologist, | 24908 COUNTY ROAD 7,
APT 109 SAINT AUGUSTA, MN, United States |
23-Jun-2016 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1164424388 is the NPI number of MERCEDES QUINTOS-GOMEZ.
What is the specialty for MERCEDES QUINTOS-GOMEZ?The Specialty of MERCEDES QUINTOS-GOMEZ is Family Medicine.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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