NMG AFFILIATE PRACTICE I, LLC


Address: 8640 Sudley Rd, Suite 302, Manassas, VA 20110-4420
Phone: 7043847680

NMG AFFILIATE PRACTICE I, LLC (NPI# 1265827513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265827513
Entity Type Organization
Organization Name NMG AFFILIATE PRACTICE I, LLC
Other Organization Name NOVANT HEALTH UVA HEALTH SYSTEM PRINCE WILLIAM CARDIOLOGY MANASSAS
Practice Address 8640 Sudley Rd
Suite 302
Manassas
VA 20110-4420
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043847680
Practice Fax Number 7043167106
Mailing Telephone 7043847680
Mailing Fax Number 7043167106
Enumeration Date 2015-04-03
Last Update Date 2016-04-14
Authorized Official Name GEOFFREY K GARDNER (VP OF FINANCE)
Authorized Official Telephone 7043847680
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Novant Health UVA Health System Prince William Cardiology Manassas Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639530124 Nmg Affiliate Practice I, LLC Internal Medicine 4197c Winchester Rd, Marshall, VA 20115-3252 2016-03-11
1154701878 Nmg Affiliate Practice I, LLC Internal Medicine 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 2015-06-08
1194110445 Nmg Affiliate Practice I, LLC Internal Medicine 15195 Heathcote Blvd Suite 338, Haymarket, VA 20169-6242 2015-04-03
1831466440 Nmg Affiliate Practice I, LLC Surgery 14010 Smoketown Rd Ste 105, Woodbridge, VA 22192-4723 2011-11-28
1770143570 Nmg Affiliate Practice I, LLC Surgery 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169-6244 2019-06-14
1487218871 Nmg Affiliate Practice I, LLC Family Medicine 190 Moravian Way Dr, Winston Salem, NC 27106-3216 2019-05-01
1700440674 Nmg Affiliate Practice I, LLC Internal Medicine 8700 Sudley Rd, Manassas, VA 20110-4418 2019-04-26
1780248823 Nmg Affiliate Practice I, LLC Internal Medicine 8700 Sudley Rd, Manassas, VA 20110-4418 2019-04-24
1861056939 Nmg Affiliate Practice I, LLC Internal Medicine 15225 Heathcote Blvd, Haymarket, VA 20169-6264 2019-04-24
1952875809 Nmg Affiliate Practice I, LLC Obstetrics & Gynecology 428 Hospital Dr, Warrenton, VA 20186-3026 2019-01-14

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporation NMG Affiliate Practice I, LLC 2085 Frontis Plaza Blvd , Winston Salem, NC 27103-5614
Virginia Business Entity NMG AFFILIATE PRACTICE I, LLC 200 HAWTHORNE LN , CHARLOTTE, NC 28204

Office Location

Street Address 8640 SUDLEY RD
SUITE 302
City MANASSAS
State VA
Zip Code 20110-4420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053311555 Robert A W Latimer Family Medicine 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4420 2005-07-26
1285095398 Jennifer Shannon Haag Nurse Practitioner 8640 Sudley Rd, Suite 303, Manassas, VA 20110-4420 2016-03-16
1699169995 Katherine Virginia Warzinski Nurse Practitioner 8640 Sudley Rd, Manassas, VA 20110-4420 2015-03-25
1255729372 Melissa Nemeth Nurse Practitioner 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4420 2014-12-23
1558765636 Amy J. Brozick Nurse Practitioner 8640 Sudley Rd, Suite 306, Manassas, VA 20110-4420 2014-10-17
1144623109 Lanelle Emerson Specialist/Technologist 8640 Sudley Rd, Manassas, VA 20110-4420 2014-10-06
1750719936 Kari Blereau Nurse Practitioner 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4420 2013-10-24
1316297591 Sarah A Brady Nurse Practitioner 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4420 2012-09-14
1619263803 Jessica Field Hamman Nurse Practitioner 8640 Sudley Rd, Suite 306, Manassas, VA 20110-4420 2011-06-26
1366744039 Nmg Affiliate Practice I, LLC Family Medicine 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4420 2010-12-01
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578624102 Prince William Cardiology Associates Internal Medicine 8569b Sudley Road, Manassas, VA 20110 2006-12-13
1417064759 Andres Alisuag Jr. Internal Medicine 9001 Digges Road, Suite 101, Manassas, VA 20110-4414 2006-08-24
1336129147 Michael G Escano Internal Medicine 8569 Sudley Rd, Manassas, VA 20110-3863 2006-01-18
1609875434 Balbir Sidhu Internal Medicine 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 2005-07-14
1669982526 Carient Heart & Vascular PC Internal Medicine 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 2017-10-05
1588994255 Sheila Khianey Internal Medicine 8569 Sudley Rd Ste B, Manassas, VA 20110-3866 2010-01-01
1710129515 Neel Shah Internal Medicine 8100 Ashton Ave Ste 200, Manassas, VA 20109 2009-03-25
1578738639 Alfred C. Burris II Internal Medicine 8640 Sudley Rd Ste 302, Manassas, VA 20110-4404 2008-04-29
1063509644 Qiong Zhao Internal Medicine 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 2006-10-06
1871537365 Keith H Chu Internal Medicine 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5688 2006-06-15
Find all providers in MANASSAS

Competitor

Search similar providers

City MANASSAS
Zip Code 20110

Improve Information

Please comment or provide details below to improve the information on NMG AFFILIATE PRACTICE I, LLC.

Dataset Information

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.

Trending Searches