Easy Care Urgent Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101243323 Issued in VA

Legal business name

EASY CARE URGENT CARE

Practice address

5808 Mapledale PLZ
Woodbridge, VA 22193-4535

Phone

(484) 788-5309

NPI assigned

Mar 5, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shabana Qureshi, MDNPI 1982885760

Title

Physician/Owner

Phone

(484) 788-5309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shabana Qureshi, MD

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1982885760
  Medicare reassignment Care Compare group NPD Authorized official
• Asma Jamil, PA-C

  • Physician Assistant
  • Centreville, VA
  • NPI 1306201736
  Medicare reassignment Care Compare group
• Kinza Kashif

  • Family Nurse Practitioner
  • Alexandria, VA
  • NPI 1689544959
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1134460876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 MAPLEDALE PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934535",
            "telephone_number": "484-788-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY CARE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "SHABANA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "484-788-5309",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Dvorak, DDS
• Dwelt Group Home
• Canan Dysert
• James Robert Dyson
• E & E Residential Support Professionals LLC
• Easy Equipment Medical Supplies LLC
• Ebl Transportation LLC
• Echo Autism Behavior Therapy, LLC
• Allison Edelstein
• Travis Howell Edelstein, D.O.

• Family Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.