RESTON HOSPITAL CENTER, LLC (NPI# 1427117019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427117019 |
Entity Type | Organization |
Organization Name | RESTON HOSPITAL CENTER, LLC |
Other Organization Name | RESTON HOSPITAL CENTER |
Practice Address |
1850 Town Center Pkwy Reston VA 20190-3219 |
Practice Telephone | 7036899000 |
Practice Fax Number | 7036899179 |
Mailing Telephone | 7036899000 |
Mailing Fax Number | 7036899179 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2020-10-22 |
Authorized Official Name | DUSTIN J. FOSNESS (CFO) |
Authorized Official Telephone | 7036899000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 11396B | 05 |
Other Name | Type Code |
---|---|
RESTON HOSPITAL CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407286289 | Reston Hospital Center, LLC | Clinic/Center | 24570 Gum Spring Rd, Dulles, VA 20166-2246 | 2013-11-15 |
1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
1548617863 | Reston Hospital Center, LLC | Radiologic Technologist | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2016-05-17 |
1043314438 | Reston Hospital Center, LLC | Orthopaedic Surgery | 1850 Town Center Pkwy, Reston, VA 20190 | 2006-09-07 |
Street Address |
1850 TOWN CENTER PKWY |
City | RESTON |
State | VA |
Zip Code | 20190-3219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386646420 | Robert A. Shor | Internal Medicine | 1850 Town Center Pkwy, Ste 550, Reston, VA 20190-3219 | 2005-06-01 |
1295357507 | Karina Manicka | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2020-05-08 |
1134777964 | Sharon Kim | Nurse Practitioner | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2019-08-26 |
1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
1437656014 | Rithika Mohan | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190 | 2018-04-10 |
1447753223 | Cara Elizabeth Butler | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-03-17 |
1669974101 | Rachel Ellenbogen | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2018-02-28 |
1669972626 | Meghan Squier | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-02-16 |
1316470198 | Dana Alsaadi | Internal Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3298 | 2017-04-07 |
1548617863 | Reston Hospital Center, LLC | Radiologic Technologist | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2016-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891933131 | Eboni Nicole Cornish | General Acute Care Hospital | 1860 Town Center Drive, 260, Reston, VA 20190-1928 | 2009-01-24 |
1053363853 | Reston Hospital Center LLC | General Acute Care Hospital | 1850 Town Center Pkwy, Reston, VA 20190 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
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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.