Provider Demographics
NPI:1790810547
Name:IGNAZ P JARBADAN MD PC
Entity Type:Organization
Organization Name:IGNAZ P JARBADAN MD PC
Other - Org Name:CROSSPOINTE URGENT CARE & FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IGNAZ
Authorized Official - Middle Name:P
Authorized Official - Last Name:JARBADAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-495-9148
Mailing Address - Street 1:8701 CATHEDRAL FOREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039
Mailing Address - Country:US
Mailing Address - Phone:703-690-2485
Mailing Address - Fax:703-690-2485
Practice Address - Street 1:9015 SILVERBROOK ROAD
Practice Address - Street 2:STE 106
Practice Address - City:FAIRFAX STATION
Practice Address - State:VA
Practice Address - Zip Code:22039
Practice Address - Country:US
Practice Address - Phone:703-495-9148
Practice Address - Fax:703-495-8447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101021817207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001S440OtherCAREFIRST BCBS
MD0001S440OtherCAREFIRST BCBS
DC0001S440OtherCAREFIRST BCBS
VA244968OtherANTHEM BCBS
B08190Medicare UPIN