NMG AFFLIATE PRACTICE I, LLC (NPI# 1184232779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184232779 |
| Entity Type | Organization |
| Organization Name | NMG AFFLIATE PRACTICE I, LLC |
| Practice Address |
8525 Rolling Rd Ste 300 Manassas VA 20110-3673 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043847246 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | SHALA DAVIS (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | Y |
| Parent Organization Name | NMG AFFLIATE PRACTICE I, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Spine Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790188597 | Nmg Affliate Practice I, LLC | Obstetrics & Gynecology | 15195 Heathcote Blvd, Suite 320, Haymarket, VA 20169 | 2014-10-07 |
| Street Address |
8525 ROLLING RD STE 300 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831398619 | Dawn M Ingram | Physical Therapist | 8525 Rolling Rd Ste 300, Manassas, VA 20110 | 2007-07-12 |
| 1366983835 | Lauren H Mast | Physician Assistant | 8525 Rolling Rd Ste 300, Manassas, VA 20110-3673 | 2017-03-16 |
| 1184043622 | Jarid Tareen | Orthopaedic Surgery | 8525 Rolling Rd Ste 300, Manassas, VA 20110-3673 | 2014-04-14 |
| 1194952895 | Zachary David Weidner | Orthopaedic Surgery | 8525 Rolling Rd Ste 300, Manassas, VA 20110-3673 | 2009-06-19 |
| 1235308040 | Abbi Richardson | Physician Assistant | 8525 Rolling Rd Ste 300, Manassas, VA 20110 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184043622 | Jarid Tareen | Orthopaedic Surgery | 8525 Rolling Rd Ste 300, Manassas, VA 20110-3673 | 2014-04-14 |
| 1912023466 | Nova Advanced Pain Management Pllc | Orthopaedic Surgery | 8525 Rolling Rd, Suite 200, Manassas, VA 20110-3647 | 2007-03-22 |
| 1265483820 | Faisal A Siddiqui | Orthopaedic Surgery | 8525 Rolling Rd, Suite 200, Manassas, VA 20110-3647 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883192 | Spine Center PC | Orthopaedic Surgery | 2726 Electric Rd Ste 203a, Roanoke, VA 24018-3528 | 2020-05-18 |
| 1992299598 | Hasz Spine Institute PC | Orthopaedic Surgery | 1830 Town Center Dr Ste 102, Reston, VA 20190-3216 | 2018-06-18 |
| 1881188506 | Nikhil Jain | Orthopaedic Surgery | 1215 Lee St - Box Number 800159, Charlottesville, VA 22908-0816 | 2018-06-16 |
| 1922516806 | Joint Replacement Cin of Northern Virginia LLC | Orthopaedic Surgery | 1900 Campus Commons Dr Ste 100a, Reston, VA 20191-1561 | 2018-01-13 |
| 1134562051 | Elliott Jiwoo Kim | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-10 |
| 1255695490 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 | 2012-07-03 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| 1144403262 | Kirven Orthopedic Group, P.C. | Orthopaedic Surgery | 5701 Cleveland Street, Suite 600, Virginia Beach, VA 23462 | 2007-12-12 |
| 1699859058 | Adel S Kebaish | Orthopaedic Surgery | 7787 Leesburg Pike, B, Falls Church, VA 22043-2412 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
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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.