NELSON LUGO (NPI# 1336343516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336343516 |
Entity Type | Individual |
Full Name | NELSON LUGO |
Other Name | NELSON LUGO SANTOS |
Credential | M.D. |
Practice Address |
43330 Junction Plz Ste 160 Pmb 108 Ashburn VA 20147-3408 |
Practice Telephone | 7039430956 |
Practice Fax Number | 4847374683 |
Mailing Telephone | 7039430956 |
Mailing Fax Number | 4847374683 |
Enumeration Date | 2007-06-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
179836 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | DEA | BL2297340 | 01 |
Street Address |
43330 JUNCTION PLZ STE 160 PMB 108 |
City | ASHBURN |
State | VA |
Zip Code | 20147-3408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
Find all providers in zip 20147 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336342195 | Sangeeta Reddy Chitlu | Psychiatry & Neurology | 20905 Professional Plaza, Suite #220, Ashburn, VA 20147 | 2007-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
1134252380 | Susan Perlmutter | Psychiatry & Neurology | 106 Elden St Ste 17, Herndon, VA 20170-4840 | 2007-03-14 |
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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.