BREAST RECONSTRUCTION SPECIALISTS LLC (NPI# 1184093577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184093577 |
| Entity Type | Organization |
| Organization Name | BREAST RECONSTRUCTION SPECIALISTS LLC |
| Practice Address |
224-cornwall Street, Nw Suite 300 Leesburg VA 20176-2704 |
| Mailing Address |
224-d Cornwall Street, Nw Suite 300 Leesburg VA 20176-2704 |
| Practice Telephone | 7037777477 |
| Practice Fax Number | 5712912452 |
| Mailing Telephone | 7037777477 |
| Mailing Fax Number | 5712912452 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | DR. BEHZAD PARVA (OWNER/SURGEON) |
| Authorized Official Telephone | 7037777477 |
| Authorized Official Credential | MD, FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101056821 | VA | Other Service Providers |
| Street Address |
224-CORNWALL STREET, NW SUITE 300 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2704 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1649592460 | Allison T. Shorb | Specialist | 217 S King St, Leesburg, VA 20175-2905 | 2010-02-20 |
| 1578899555 | William Barton Mahan | Specialist | 10601 Us Highway 441 Ste E1, Leesburg, FL 34788-7240 | 2009-10-26 |
| 1255527719 | Eze D. Uche, M.d., Pa | Specialist | 4646 Via Del Medico, Leesburg, FL 34748-6995 | 2007-09-19 |
| 1083742571 | Hear Care Inc | Specialist | 1108 W Dixie Ave, Leesburg, FL 34748-6312 | 2007-02-28 |
| 1700958600 | Lake Neurology Clinic, P.a. | Specialist | 608 S 9th Street, Ste A, Leesburg, FL 34748 | 2006-11-15 |
| 1134238140 | Pascual Herrera Jr. | Specialist | 215 Industrial Blouvard, Leesburg, AL 35983 | 2006-08-30 |
| 1578676953 | Alex Marin Uson | Specialist | 1039 W Dixie Ave, Leesburg, FL 34748-6349 | 2006-08-17 |
| 1780604892 | Ellen Therese Egerton | Specialist | 906 Trailview Blvd Se, Leesburg, VA 20175-4415 | 2006-07-20 |
| 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.