Walk in Medical Center P.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003515 Issued in VA

Legal business name

WALK IN MEDICAL CENTER P.C.

Practice address

201 Elden St Ste 101
Herndon, VA 20170-4812

Phone

(703) 668-0222

Fax

(703) 668-0224

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Soaidy Sooklall

Title

Physician Assistant

Phone

(703) 668-0222

Specialties & licenses 1

Addresses

Practitioners 1

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

• Fella Ezzekmi-Aksouh, PAC

  • Physician Assistant
  • Herndon, VA
  • NPI 1912202664

  Medical

  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1447540604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ELDEN ST STE 101",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704812",
            "telephone_number": "703-668-0222",
            "fax_number": "703-668-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ELDEN ST STE 101",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704812",
            "telephone_number": "703-668-0222",
            "fax_number": "703-668-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK IN MEDICAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "SOOKLALL",
        "authorized_official_first_name": "SOAIDY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "703-668-0222"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jekin Jayantkumar Vyas, PT
• Stephanie Ellen Waggel, MD, MS
• Brian P Wah, LAC
• Samantha Waldman, FNP-C
• Walgreen Co
• Makayla Walker, RBT
• Meg Wallace, LPC
• Lisa Anne Walmsley, D.C.
• Dawn Walter, LCSW
• Chloe Wang

• Medical Physician Assistant in Herndon, VA
• Providers in Herndon, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.