Organization Active NPI

Maimon PLLC

  • Clinic/Center
  • Midlothian, VA
National Provider Identifier
1659149383
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MAIMON PLLC
Practice address
611 Watkins Centre Pkwy Ste 110
Midlothian, VA 23114-4404
Phone
(804) 893-8447
NPI assigned
Dec 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Ziya Aktig, MDNPI 1871129700
Title
Owner
Phone
(980) 250-4759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

611 Watkins Centre Pkwy Ste 110
Midlothian, VA 23114-4404

Mailing address

3709 Old Gun Rd W
Midlothian, VA 23113-2019

Other practice location 1

3335 S Crater Rd Ste 700
Petersburg, VA 23805-9396
Phone (804) 765-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240320000533 VA Part B Supplier - Clinic/Group Practice 8921445438 Receives reassigned benefits from 2 practitioners
Practice locations: Midlothian, VA; Petersburg, VA; Richmond, VA

National Provider Directory

National Provider Directory

Locations

611 Watkins Centre Pkwy
Ste 110
Midlothian, VA 23114
Phone (804) 893-8447

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1659149383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 OLD GUN RD W",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WATKINS CENTRE PKWY STE 110",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144404",
            "telephone_number": "804-893-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3335 S Crater Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238059396",
            "country_code": "US",
            "telephone_number": "804-765-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAIMON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "AKTIG",
        "authorized_official_first_name": "ZIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-250-4759",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.