Clifton Station LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101053083 Issued in VA

Legal business name

CLIFTON STATION LLC

Doing business as

Walk-in Medical Care Fairfax Station

Practice address

9015 Silverbrook Rd
Suite 106
Fairfax Station, VA 22039-2683

Phone

(703) 495-9148

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bina Kololgi, M.D

Title

Dr.Bina Kololgi

Phone

(703) 495-9148

Specialties & licenses 1

Addresses

Other names 1

• Walk-in Medical Care Fairfax Station Doing business as

Locations

Practitioners 2

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

• Ayad A Alsaadi, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1982627980
  NPD (past)
• Abdulwahab Hashem Heggi, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1316981103
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1649419276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 SILVERBROOK RD",
            "address_2": "SUITE 106",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392683",
            "telephone_number": "703-495-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 SILVERBROOK RD",
            "address_2": "SUITE 106",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392683",
            "telephone_number": "703-495-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON STATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "KOLOLGI",
        "authorized_official_first_name": "BINA",
        "authorized_official_title_or_position": "DR.BINA KOLOLGI",
        "authorized_official_telephone_number": "703-495-9148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101053083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walk-in Medical Care Fairfax Station",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ace Carter
• Maria Cherry, NP
• Christine F. Chalk
• Jeanne Gravois Chutuape, PMHNP
• Clementine Twin Lakes, LLC (Clementine Fairfax)
• Clinical Therapy Services
• Stephen R Connor, PHD
• Ellen M Courtney
• Marjorie Guerrero Cruz, RN
• Deana Demare Hally

• Internal Medicine Physician in Fairfax Station, VA
• Providers in Fairfax Station, 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 Sep 29, 2009; 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.