Mosaic MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOSAIC MD, PLLC

Practice address

22365 Broderick Dr Ste 330
Sterling, VA 20166-9361

Phone

(703) 952-7641

Fax

(703) 423-0007

NPI assigned

Aug 18, 2020

Organization subpart

Yes

Parent organization

MOSAIC MD, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Sheri Kay Kochendoerfer, MD

Title

Co-Owner

Phone

(703) 952-7641

Specialties & licenses 1

Addresses

Other names 1

• Mosaic Theory MD Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Mosaic MD PLLC

Locations

Practitioners 1

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

• Anusha Ehtesham Khan, MD

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1215464243
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1376155648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22365 BRODERICK DR STE 330",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201669361",
            "telephone_number": "703-952-7641",
            "fax_number": "703-423-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22365 BRODERICK DR STE 330",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201669361",
            "telephone_number": "703-952-7641",
            "fax_number": "703-423-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MD, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOSAIC MD, PLLC",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "KOCHENDOERFER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "703-952-7641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Theory MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tchula Morgison, OD
• Juliann H Morrell
• Carrson McDowell Morris, D.C.
• Nicole M Morris
• Zachary Michael Morris, PT, DPT, BS
• Tara Tafreshi Moshiri, D.D.S
• Camille Leonor Mota Tineo
• Jafar Mottaghi
• Movement to Wholeness, LLC
• Laurie Leigh Mowry-Hesler, LMFT

• Internal Medicine Physician in Sterling, VA
• Providers in Sterling, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.