LOUDOUN MEDICAL GROUP PC (NPI# 1184731796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184731796 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | PRINCE WILLIAM FOOT & ANKLE CENTER, PC |
| Practice Address |
7430 Heritage Village Plaza Suite 101 Gainesville VA 20155 |
| Mailing Address |
7430 Heritage Village Plz Suite 101 Gainesville VA 20155-3088 |
| Practice Telephone | 7037533338 |
| Practice Fax Number | 7037537870 |
| Mailing Telephone | 7037533338 |
| Mailing Fax Number | 7037537870 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | MUKESH D. BHAKTA (PRESIDENT) |
| Authorized Official Telephone | 7037533338 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Prince William Foot & Ankle Center, PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1285093070 | Loudoun Medical Group PC | Obstetrics & Gynecology | 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 | 2016-02-22 |
| 1841658499 | Loudoun Medical Group PC | Internal Medicine | 10200 Colvin Run Rd, Suite 326, Great Falls, VA 22066-1830 | 2016-02-10 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1285021345 | Loudoun Medical Group PC | Ophthalmology | 8751 Sudley Rd, 2nd Floor, Manassas, VA 20110-8319 | 2015-04-16 |
| 1821409590 | Loudoun Medical Group PC | Internal Medicine | 3687 Fettler Park Dr, Dumfries, VA 22025-2049 | 2014-05-15 |
| 1134530900 | Loudoun Medical Group PC | Internal Medicine | 4897 Prince William Pkwy, Suite C 102, Woodbridge, VA 22192-5432 | 2014-05-15 |
| Street Address |
7430 HERITAGE VILLAGE PLAZA SUITE 101 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790079069 | North Atlanta Podiatry Grp,pc | Podiatrist | 466 Green St, Gainesville, GA 30501-3312 | 2011-06-04 |
| 1902108053 | Vann Andre Johnson | Podiatrist | 466 Green St Ne, Gainesville, GA 30501-3312 | 2010-11-23 |
| 1366513905 | Wesley Lewis Daniel | Podiatrist | 1975 Beverly Rd, Suite B, Gainesville, GA 30501-2034 | 2006-11-13 |
| 1215008768 | Gainesville Podiatry Clinic, Inc | Podiatrist | 1975 Beverly Road, Suite B, Gainesville, GA 30501-3726 | 2006-11-13 |
| 1710901145 | Roberta Giudice-teller | Podiatrist | 1010 Nw 6th St, Gainesville, FL 32601-4249 | 2006-07-27 |
| 1306862743 | Angel L Cuesta I | Podiatrist | 6831 Nw 11th Pl Ste 3, Gainesville, FL 32605-4259 | 2006-07-15 |
| 1427082544 | John Raymond Heiser | Podiatrist | 915 Nw 56th Terrace, Gainesville, FL 32605 | 2006-07-11 |
| 1649201153 | Jere Anthony Scola IIi | Podiatrist | 4615 Nw 53rd Ave, Gainesville, FL 32653-4885 | 2006-07-05 |
| 1295732741 | Scott Koppel | Podiatrist | 500 Nw 43rd Street, Ste 2, Gainesville, FL 32607-6126 | 2005-06-30 |
| 1912443201 | Village Podiatry Group, LLC. | Podiatrist | 1224 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2017-01-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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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.