Mitchell E. Stashower, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101049818 Issued in VA

Practice address

3700 Joseph Siewick Dr
Suite 404
Fairfax, VA 22033-1745

Phone

(703) 620-8900

Fax

(703) 620-2288

NPI assigned

Jul 11, 2005

Last updated

Nov 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Georgetown University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Clinical Skin Center of Northern Virginia PLLCGroup PAC ID 3173416369, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Clinical Skin Center of Northern Virginia PLLC

  dba Clinical Skin Center

  • Specialist
  • Fairfax, VA
  • NPI 1700887387

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Nova Medical and Urgent Care Center, Inc.

  dba Nova Medical Group, Nova Urgent Care

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1588683742
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1801894290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR",
            "address_2": "SUITE 404",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331745",
            "telephone_number": "703-620-8900",
            "fax_number": "703-620-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR",
            "address_2": "SUITE 404",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331745",
            "telephone_number": "703-620-8900",
            "fax_number": "703-620-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASHOWER",
        "first_name": "MITCHELL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101049818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Family Medicine
• Heloi Elaine Stark, O.D.
• Colleen C Starling, LPC
• Kiran W Starosta, L.C.S.W.
• Shinda Starr, NURSE PRACTITIONER
• Stat Medical Care, P.C. (Fair Lakes Urgent Care Center)
• State of the Art Rehab, Inc.
• Nichelle Arnette Staten, LPC
• Erica Ms Statman, D.C.DI.C.C.P.
• Stacy Stavlund, CNM

• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.