LOUDOUN MEDICAL GROUP . P.C (NPI# 1093339764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093339764 |
Entity Type | Organization |
Organization Name | LOUDOUN MEDICAL GROUP . P.C |
Practice Address |
19500 Sandridge Way Ste 400 Leesburg VA 20176-3691 |
Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
Practice Telephone | 7037235700 |
Mailing Telephone | 7037376000 |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |
Authorized Official Name | HEATHER STANTON (CREDENTIALING MANAGER) |
Authorized Official Telephone | 7037376012 |
Authorized Official Credential | MBA |
Is Organization Subpart | Y |
Parent Organization Name | LOUDOUN MEDICAL GROUP . P.C |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1675951440 | 05 |
Other Name | Type Code |
---|---|
Skin Cancer Center of Northern Virginia | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
1528691839 | Loudoun Medical Group . P.c | Internal Medicine | 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 | 2020-02-14 |
1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
1679024418 | Loudoun Medical Group . P.c | Family Medicine | 20 Town Sq, Suite 180, Lovettsville, VA 20180-8555 | 2016-10-17 |
1801408109 | Loudoun Medical Group . P.c | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2020-08-18 |
1386255602 | Loudoun Medical Group . P.c | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2020-08-11 |
1407464092 | Loudoun Medical Group . P.c | Internal Medicine | 4660 Kenmore Ave Ste 500, Alexandria, VA 22304-1300 | 2020-07-20 |
Street Address |
19500 SANDRIDGE WAY STE 400 |
City | LEESBURG |
State | VA |
Zip Code | 20176-3691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
Find all providers in zip 20176 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881627966 | Sandeep Kumar Thaper | Internal Medicine | 601 E Dixie Ave Ste 1001, Leesburg, FL 34748-7309 | 2006-07-09 |
1093747560 | Lake Cancer Medical Center Pa | Internal Medicine | 732 North Third Street, Leesburg, FL 34748 | 2006-07-07 |
1295716645 | Rambabu Tummala | Internal Medicine | 9832 Us Hwy 441, Suite 101, Leesburg, FL 34788 | 2005-11-10 |
1275514622 | Cancer Centers of Central Florida Pa | Internal Medicine | 9832 Us Highway 441, Ste 101, Leesburg, FL 34788-3966 | 2005-11-10 |
1356332506 | Maen A Hussein | Internal Medicine | 110 North Boulevard East, Leesburg, FL 34748-5241 | 2005-11-04 |
1962499111 | Christopher T Soprenuk | Internal Medicine | 9846 Us Highway 441, Leesburg, FL 34788-3910 | 2005-10-03 |
1184174336 | Loudoun Medical Group . P.c | Internal Medicine | 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 | 2016-10-12 |
1306277793 | Loudoun Medical Group PC | Internal Medicine | 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 | 2013-12-10 |
1699909093 | Mei-hwa Rose Firestone | Internal Medicine | 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 | 2009-05-13 |
1215006432 | Central Florida Hematology and Oncology | Internal Medicine | 601 E Dixie Ave Ste 1001, Leesburg, FL 34748-7309 | 2006-11-06 |
Find all providers in LEESBURG |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.