CRH CLINIC OF VIRGINIA, INC (NPI# 1336310549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336310549 |
| Entity Type | Organization |
| Organization Name | CRH CLINIC OF VIRGINIA, INC |
| Practice Address |
19415 Deerfield Ave Unit 104 Lansdowne VA 20176-8452 |
| Mailing Address |
4040 Lake Washington Blvd Ne Suite 100 Kirkland WA 98033-7874 |
| Practice Telephone | 7038587345 |
| Practice Fax Number | 7038942735 |
| Mailing Telephone | 4252847890 |
| Mailing Fax Number | 4252847896 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | MRS. SARAH STANDLEY (DIRECTOR OF CONTRACTING) |
| Authorized Official Telephone | 4252847890 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
19415 DEERFIELD AVE UNIT 104 |
| City | LANSDOWNE |
| State | VA |
| Zip Code | 20176-8452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836798 | Mandeep Sandhu | Internal Medicine | 19415 Deerfield Ave, Suite 115, Lansdowne, VA 20176-8452 | 2005-07-26 |
| 1568094456 | Loudoun Community Pharmacy LLC | Pharmacy | 19415 Deerfield Ave, Lansdowne, VA 20176-8452 | 2020-02-07 |
| 1720528631 | Renee Wilson | Nurse Practitioner | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2017-02-27 |
| 1790134807 | William Reid Moughon | Optometrist | 19415 Deerfield Ave, Suite 106, Lansdowne, VA 20176-8452 | 2016-06-09 |
| 1023425865 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 19415 Deerfield Ave, Suite 301-b, Lansdowne, VA 20176-8452 | 2014-07-14 |
| 1669888756 | Counseling Solutions Inc. | Community/Behavioral Health | 19415 Deerfield Ave, Suite 307, Lansdowne, VA 20176-8452 | 2014-07-09 |
| 1285048546 | Loudoun Family Medicine LLC | Family Medicine | 19415 Deerfield Ave, Suite 103, Lansdowne, VA 20176-8452 | 2014-06-16 |
| 1942598685 | Stephanie Ruth-strange | Nurse Practitioner | 19415 Deerfield Ave, Suite 213, Lansdowne, VA 20176-8452 | 2011-07-15 |
| 1982901732 | Swarupa Esanakula,md PC | Internal Medicine | 19415 Deerfield Ave, 103, Lansdowne, VA 20176-8452 | 2011-02-14 |
| 1942526165 | Nathan Roberts | Urology | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2010-04-13 |
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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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1952614455 | Ymb Surgery P.l.l.c. | Surgery | 44084 Riverside Pkwy, Suite 230, Lansdowne, VA 20176-5102 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819911 | Charles W Hurt | Surgery | 195 Riverbend Dr Ste 1, Charlottesville, VA 22911-8708 | 2020-04-08 |
| 1720616261 | Katherine Maria Barrows | Surgery | 3300 Gallows Rd, Dept of Surgery, Falls Church, VA 22042-3307 | 2020-03-30 |
| 1891202412 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 | 2018-01-04 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1457729048 | Donnarose Klemovitch | Surgery | 11226 Goldflower Ct, Fairfax Station, VA 22039-2026 | 2015-09-13 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1760877377 | Caleb Luke Cutherell | Surgery | 2900 Lamb Cir Ste 302, Christiansburg, VA 24073-6341 | 2015-03-31 |
| 1457745143 | Dwayne North | Surgery | 7554 Hospital Dr Ste D303, Gloucester, VA 23061-4178 | 2015-03-20 |
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| 1275938136 | Surgical Consultants of Northern Virginia Pllc | Surgery | 1655 Hunting Crest Way, Vienna, VA 22182-1563 | 2014-11-04 |
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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.