NMG AFFILIATE PRACTICE I, LLC (NPI# 1437698636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437698636 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I, LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM INPATIENT CRITICAL CARE |
| Practice Address |
15225 Heathcote Blvd Haymarket VA 20169-6264 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033965292 |
| Mailing Telephone | 7033965292 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101231278 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Inpatient Critical Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639530124 | Nmg Affiliate Practice I, LLC | Internal Medicine | 4197c Winchester Rd, Marshall, VA 20115-3252 | 2016-03-11 |
| 1154701878 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 | 2015-06-08 |
| 1194110445 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15195 Heathcote Blvd Suite 338, Haymarket, VA 20169-6242 | 2015-04-03 |
| 1831466440 | Nmg Affiliate Practice I, LLC | Surgery | 14010 Smoketown Rd Ste 105, Woodbridge, VA 22192-4723 | 2011-11-28 |
| 1770143570 | Nmg Affiliate Practice I, LLC | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169-6244 | 2019-06-14 |
| 1487218871 | Nmg Affiliate Practice I, LLC | Family Medicine | 190 Moravian Way Dr, Winston Salem, NC 27106-3216 | 2019-05-01 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1952875809 | Nmg Affiliate Practice I, LLC | Obstetrics & Gynecology | 428 Hospital Dr, Warrenton, VA 20186-3026 | 2019-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | NMG Affiliate Practice I, LLC | 2085 Frontis Plaza Blvd , Winston Salem, NC 27103-5614 |
| Virginia Business Entity | NMG AFFILIATE PRACTICE I, LLC | 200 HAWTHORNE LN , CHARLOTTE, NC 28204 |
| Street Address |
15225 HEATHCOTE BLVD |
| City | HAYMARKET |
| State | VA |
| Zip Code | 20169-6264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609064161 | Malikah Hafeeza Day | Pharmacist | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2007-10-10 |
| 1356997357 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-08-15 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1619462454 | Dorris Lockamy Glaspy | Nurse Practitioner | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2018-06-25 |
| 1841657434 | Prince William Hospital | Nurse Anesthetist, Certified Registered | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2016-01-27 |
| 1407211451 | Nmg Affiliate Practice I LLC | Family Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-17 |
| 1154796696 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-09 |
| 1639509458 | Novant Medical Group Inc | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169 | 2013-11-14 |
| 1003244260 | Evelyn Roxana Saldana | Nurse Practitioner | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2013-10-28 |
| 1124369137 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169 | 2013-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831608025 | Renu Kaur | Social Worker | 15709 Foleys Mill Place, Haymarket, VA 20169 | 2017-09-20 |
| 1760928188 | Meae Nam | Home Health Aide | 6429 Ashby Grove Loop, Haymarket, VA 20169 | 2017-01-09 |
| 1497177406 | Candy Faviola Suarez | Physician Assistant | 15195 Heathcote Blvd Ste 230, Haymarket, VA 20169 | 2014-01-09 |
| 1649617101 | Nicholas Dugan | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169 | 2013-05-23 |
| 1336497049 | Wal-mart Stores East Lp | Technician/Technologist | 6530 Trading Square, Haymarket, VA 20169 | 2012-08-28 |
| 1750637641 | Hema R Gajula | Psychiatry & Neurology | 15195 Heathcote Blvd Ste 350, Haymarket, VA 20169 | 2012-07-27 |
| 1689950396 | Meskerem Getachew | Pharmacist | 15610 Admiral Baker Circle, Haymarket, VA 20169 | 2011-10-26 |
| 1770861213 | Jenna Siracuse Loewer | Physical Therapist | 5401 Merchants View Sq, Haymarket, VA 20169 | 2011-08-02 |
| 1669767679 | Jeff Moon | Dentist | 6735 Leaberry Way, Haymarket, VA 20169 | 2011-06-17 |
| 1710159272 | David Wen | Psychologist | 6611 Jefferson St Ste 304, Haymarket, VA 20169 | 2008-03-25 |
| Find all providers in zip 20169 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920205 | Katelynn Suzanne Doeppe | Internal Medicine | 1401 Johnstn Wllis Dr, North Chesterfield, VA 23235-4730 | 2020-10-20 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1417459058 | William A. Knaus | Internal Medicine | 1926 Lewis Mountain Rd, Charlottesville, VA 22903-2413 | 2018-02-28 |
| 1376043489 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave Ste 670, Norfolk, VA 23510-1065 | 2018-02-15 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1821474289 | Ravi Jagdish Patel | Internal Medicine | 6380 Homewood Cir, Roanoke, VA 24018-8308 | 2015-08-07 |
| 1538587761 | Gretchen Elder Brayman | Internal Medicine | 4000 Coliseum Dr Ste 320, Hampton, VA 23666-5983 | 2014-04-04 |
| 1235448911 | Anish S. Desai, Md, LLC | Internal Medicine | 8301 Arlington Blvd Ste T5, Fairfax, VA 22031-2904 | 2010-09-29 |
| 1982861795 | Yu Chi C Wang | Internal Medicine | 1625 N George Mason Dr Ste 355, Arlington, VA 22205-3690 | 2008-05-20 |
| 1134300148 | Arshan Beyzaei Arani | Internal Medicine | Commonwealth Critical Care 2501 Parkers Ln, Alexandria, VA 22334-4405 | 2007-11-19 |
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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.