ROBERTA MAUREEN MORELAND (NPI# 1104819739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104819739 |
| Entity Type | Individual |
| Full Name | ROBERTA MAUREEN MORELAND |
| Credential | MD |
| Practice Address |
19415 Deerfield Ave Suite 314 Leesburg VA 20176-8452 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037237171 |
| Practice Fax Number | 7037237176 |
| Mailing Telephone | 7037237171 |
| Mailing Fax Number | 7037237176 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101049184 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 0700014603 | 01 | |
| VA | 1104819739 | 05 |
| Street Address |
19415 DEERFIELD AVE SUITE 314 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-8452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558745794 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2015-07-17 |
| 1649662339 | Crescent Medical Arts | Internal Medicine | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2015-03-04 |
| 1821492067 | Kelly Ashley Boardman | Physician Assistant | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2014-10-17 |
| 1356780746 | Rachel Swinger Sposito | Nurse Practitioner | 19415 Deerfield Ave, Suite 202, Leesburg, VA 20176-8452 | 2013-06-18 |
| 1093066284 | Mari E Parker | Nurse Practitioner | 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452 | 2012-09-27 |
| 1174879944 | Loudoun Medical Group PC | Internal Medicine | 19415 Deerfield Ave, Suite 107, Leesburg, VA 20176-8452 | 2012-07-31 |
| 1366709651 | Loudoun Medical Group PC | Pediatrics | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2012-04-12 |
| 1093091530 | Navin Hukmani, Dds, LLC | Dentist | 19415 Deerfield Ave, Suite 306, Leesburg, VA 20176-8452 | 2011-10-28 |
| 1922325000 | Kathleen I Cage | Nurse Practitioner | 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452 | 2010-04-28 |
| 1588827968 | Christopher L. Starks | Urology | 19415 Deerfield Ave, Suite112, Leesburg, VA 20176-8452 | 2008-07-07 |
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| 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 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134385255 | Katherine Marie Mercy | Dermatology | 19465 Deerfield Ave Ste 401, Leesburg, VA 20176-1707 | 2008-07-29 |
| 1396834974 | Elaine Teresa Eliezer | Dermatology | 823a South King St, Suite A, Leesburg, VA 20175-3920 | 2006-10-12 |
| 1447256201 | Kevin E Chun | Dermatology | 1132 E North Blvd, Leesburg, FL 34748-5350 | 2005-06-24 |
| 1174153969 | Jeren Robert Kowalewski | Dermatology | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2020-01-21 |
| 1699972406 | Dermatology Center of Loudoun, Plc | Dermatology | 19455 Deerfield Ave, Suite 311, Leesburg, VA 20176-8100 | 2007-06-27 |
| 1710001235 | Loudoun Medical Group PC | Dermatology | 19415 Deerfield Ave, Suite 314, Leesburg, VA 20176-8452 | 2007-03-19 |
| 1679591440 | Loudoun Medical Group PC | Dermatology | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2006-07-18 |
| 1275585473 | Jane T Nguyen | Dermatology | 19455 Deerfield Ave, Suite 311, Leesburg, VA 20176-8100 | 2006-05-16 |
| 1609860337 | Michael Mclain Todd | Dermatology | 19465 Deerfield Ave, Suite 401, Leesburg, VA 20176-1701 | 2005-09-08 |
| 1649263195 | Van Trong Ha | Dermatology | 19415 Deerfield Ave, Ste 314, Leesburg, VA 20176-8452 | 2005-08-30 |
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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.