COMMONWEALTH EMERGENCY PHYSICIANS PC (NPI# 1366061574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366061574 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH EMERGENCY PHYSICIANS PC |
| Practice Address |
44045 Riverside Pkwy Leesburg VA 20176-5101 |
| Mailing Address |
Po Box 79450 Baltimore MD 21279-0450 |
| Practice Telephone | 7038586040 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | EDWARD VINCENT PUCCIO (PRESIDENT) |
| Authorized Official Telephone | 6106686495 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598723082 | Commonwealth Emergency Physicians PC | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-03 |
| Street Address |
44045 RIVERSIDE PKWY |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016821 | Jennifer Gut | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2005-07-14 |
| 1376161885 | Alexis Lydia Doherty | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-07-10 |
| 1942821038 | Melissa Lynn Hwang | Registered Nurse | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-04-30 |
| 1497387328 | Hannah Burzumato | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-08 |
| 1437781523 | Premier Trauma and Surgical Specialists LLC | Physician Assistant | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-07 |
| 1023640182 | Margaret Smith Lynch | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-06 |
| 1427694454 | Mary Christine Hogan | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2019-11-25 |
| 1669020442 | Brittany Marie Colley | Radiology | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2019-08-26 |
| 1457837395 | Susan Park Howell | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2018-07-13 |
| 1770078438 | Katelyn Chapman | Registered Nurse | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2018-06-26 |
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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 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207213 | Shawn Mcnichol | Physician Assistant | 601 E Dixie Ave Ste 804, Leesburg, FL 34748-5994 | 2019-07-21 |
| 1457825093 | Grace Christine Berardini | Physician Assistant | 19415 Deerfield Ave Ste 314, Leesburg, VA 20176-8472 | 2019-01-16 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1477052603 | Charu Gupta | Physician Assistant | 635 Potomac Station Dr Ne, Leesburg, VA 20176-1818 | 2018-02-02 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| 1043651342 | Kristin Marie Kaiser | Physician Assistant | 19465 Deerfield Ave Ste 408, Leesburg, VA 20176-1707 | 2013-07-15 |
| 1326370438 | Kimberly Brooke Fields | Physician Assistant | 19500 Sandridge Way Ste 170, Leesburg, VA 20176 | 2010-02-01 |
| 1386702652 | Patricia Ann Nicholson | Physician Assistant | 224b Cornwall St Nw, Loudoun Free Clinic, Leesburg, VA 20176-2701 | 2006-12-05 |
| 1790737609 | Stephen Joseph Signore | Physician Assistant | 401 W North Blvd, Mid-florida Primary Care, Pa, Leesburg, FL 34748-5044 | 2006-05-17 |
| Find all providers in LEESBURG | ||||
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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.