Kimberly Tyler Oshirak, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101102698 Issued in VA

Practice address

9001 Digges Road
Suite 106
Manassas, VA 20110

Phone

(703) 392-5437

Fax

(703) 392-0176

NPI assigned

Apr 12, 2012

Last updated

Jan 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Health Care Center of Nova

  • Pediatrics Physician
  • Manassas, VA
  • NPI 1982859484
  NPD (past)

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1699032904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 DIGGES ROAD",
            "address_2": "SUITE 106",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-392-5437",
            "fax_number": "703-392-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES ROAD",
            "address_2": "SUITE 106",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-392-5437",
            "fax_number": "703-392-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHIRAK",
        "first_name": "KIMBERLY",
        "middle_name": "TYLER",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101102698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699032904",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optometric Associates, P. C.
• Kathy Oravetz, PT
• Orthovirginia, Inc.
• Celeste Ann Orwat, D.C.
• Tracy Leeanne Osborne
• Patience Otaigbe
• Victoria Jane Otchere, LPC
• Kathleen Ann Otero, LPC
• Joseph V. Otto, O.D.
• Stephanie Bile Oulatta, MSW

• Pediatrics Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.