Provider Demographics
NPI:1679617997
Name:YOSAITIS, BARBARA BOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:BOYD
Last Name:YOSAITIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 STERLING MONTAGUE DR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-4003
Mailing Address - Country:US
Mailing Address - Phone:703-757-9597
Mailing Address - Fax:
Practice Address - Street 1:3650 JOSEPH SIEWICK DR
Practice Address - Street 2:SUITE 204
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1710
Practice Address - Country:US
Practice Address - Phone:703-264-0521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049120207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA504725OtherNCPPO
VA13780002OtherCAREFIRST
5161045OtherCIGNA
2165300OtherUNITED
296494OtherANTHEM
770675456OtherCOVENTRY
VA5751550OtherAETNA
770675456OtherPHCS
5161045OtherCIGNA
VA13780002OtherCAREFIRST
296494OtherANTHEM