LOUDOUN MEDICAL GROUP . P.C (NPI# 1386255602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386255602 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP . P.C |
| Practice Address |
7430 Heritage Village Plz Unit 101 Gainesville VA 20155-3089 |
| Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 7037533338 |
| Mailing Telephone | 7037376012 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | HEATHER STANTON (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7037376012 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP . P.C |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Loudoun Medical Group | Doing Business As Name - Organization |
| Loudoun Medical Group PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
| 1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
| 1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
| 1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
| 1093339764 | Loudoun Medical Group . P.c | Internal Medicine | 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 | 2020-05-29 |
| 1528691839 | Loudoun Medical Group . P.c | Internal Medicine | 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 | 2020-02-14 |
| 1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
| 1679024418 | Loudoun Medical Group . P.c | Family Medicine | 20 Town Sq, Suite 180, Lovettsville, VA 20180-8555 | 2016-10-17 |
| 1801408109 | Loudoun Medical Group . P.c | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2020-08-18 |
| 1407464092 | Loudoun Medical Group . P.c | Internal Medicine | 4660 Kenmore Ave Ste 500, Alexandria, VA 22304-1300 | 2020-07-20 |
| Street Address |
7430 HERITAGE VILLAGE PLZ UNIT 101 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326152976 | Mukesh D. Bhakta | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2006-08-19 |
| 1801408109 | Loudoun Medical Group . P.c | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2020-08-18 |
| 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 | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528276466 | Gainesville Podiatry Associates | Podiatrist | 915 Nw 56th Ter, Gainesville, FL 32605-6408 | 2007-05-21 |
| 1326152976 | Mukesh D. Bhakta | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2006-08-19 |
| 1063435758 | Timothy J Whyatt | Podiatrist | 6717 N.w. 11th Place, Suite D, Gainesville, FL 32605 | 2006-07-25 |
| 1932388709 | Roberta Giudice-teller Dpm Pa | Podiatrist | 1010 Nw 6th St, Gainesville, FL 32601-4249 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666971 | Virtual Foot and Ankle Care, LLC | Podiatrist | 5970 Derwent Rd, Powhatan, VA 23139-4620 | 2020-10-16 |
| 1891137048 | Tidewater Foot Center LLC | Podiatrist | 126 Monarch Dr, Newport News, VA 23602-6884 | 2013-07-29 |
| 1346540515 | All American Podiatry and Wound Care, P.C. | Podiatrist | 4620 Bunker Hill Ln, Virginia Beach, VA 23462-2245 | 2010-10-22 |
| 1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
| 1942326137 | Rosemary Cecile O'grady | Podiatrist | 1942 William St, Fredericksburg, VA 22401-5128 | 2007-03-21 |
| 1144360058 | Podiatric Care of Northern Virginia, PC | Podiatrist | 821 S King St Ste I, Leesburg, VA 20175-3922 | 2007-02-08 |
| 1477638526 | Jerald A. Kriger | Podiatrist | 8605 Sudley Rd, Manassas, VA 20110-4583 | 2006-10-26 |
| 1275623043 | Virginia Footcare Center, LLC | Podiatrist | 2848 Jefferson Davis Hwy, Suite 114, Stafford, VA 22554-1767 | 2006-10-13 |
| 1265538979 | Paul Thomas Spada | Podiatrist | 533 Rodney Ln, Virginia Beach, VA 23464-2227 | 2006-09-16 |
| 1538279260 | Hampton Roads Podiatry PC | Podiatrist | 5241 Princess Anne Road Suite 102, Va Beach, VA 23462 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on LOUDOUN MEDICAL GROUP . P.C.
| 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.