NMG AFFILIATE PRACTICE I LLC (NPI# 1457741126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457741126 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM VIRGINIA INTERNAL MEDICINE & PRIMARY C |
| Practice Address |
8575 Sudley Rd Suite A Manassas VA 20110-3861 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033613161 |
| Mailing Telephone | 7043847840 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | MR. GEOFFREY K GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7033286332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Virginia Internal Medicine & Primary C | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750719977 | Nmg Affiliate Practice I LLC | Internal Medicine | 10945 George Mason Cir, Manassas, VA 20110-2233 | 2013-10-25 |
| 1639474240 | Nmg Affiliate Practice I LLC | Internal Medicine | 812 West Stuart Drive, Galax, VA 24333-2605 | 2011-01-13 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1407211451 | Nmg Affiliate Practice I LLC | Family Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-17 |
| 1861857815 | Nmg Affiliate Practice I LLC | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2015-12-17 |
| 1386053502 | Nmg Affiliate Practice I LLC | Psychiatry & Neurology | 8644 Sudley Rd, Suite 315, Manassas, VA 20110-4417 | 2014-08-13 |
| 1114222700 | Nmg Affiliate Practice I LLC | Internal Medicine | 150 Charlois Blvd, Suite 290, Winston Salem, NC 27103-1549 | 2011-01-13 |
| 1558666164 | Nmg Affiliate Practice I LLC | Internal Medicine | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2011-01-13 |
| 1184929796 | Nmg Affiliate Practice I LLC | Internal Medicine | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2011-01-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | NMG AFFILIATE PRACTICE I LLC | 200 Hawthorne Ln, Charlotte, North Carolina 28204 |
| North Carolina Corporations | NMG Affiliate Practice I LLC | 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 |
| Street Address |
8575 SUDLEY RD SUITE A |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497927537 | W James Werner Md Family Medicine Plc | Specialist | 8575 Sudley Rd, Suite A & B, Manassas, VA 20110-3861 | 2008-03-28 |
| 1598046419 | Eugenia Moran Lyndon | Nurse Practitioner | 8575 Sudley Rd, Ste B, Manassas, VA 20110-3861 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1750719977 | Nmg Affiliate Practice I LLC | Internal Medicine | 10945 George Mason Cir, Manassas, VA 20110-2233 | 2013-10-25 |
| 1356530331 | Nicole Penke | Internal Medicine | 8140 Ashton Ave Ste 120, Manassas, VA 20109-5699 | 2007-10-16 |
| 1548471675 | Sheila Mehra Chen | Internal Medicine | 8405 Dorsey Cir, Suite 101, Manassas, VA 20110-8304 | 2007-05-24 |
| 1295805935 | Remedios Lopez Deleon | Internal Medicine | 8638 Centreville Rd, Manassas, VA 20110-5264 | 2006-11-09 |
| 1770688004 | Comprehensive Internal Medicine Associates | Internal Medicine | 9303 Forest Point Circle, Manassas, VA 20110 | 2006-09-13 |
| 1952346066 | Navdeep Mathur | Internal Medicine | 8428 Dorsey Cir, Suite 101, Manassas, VA 20110-8302 | 2006-06-20 |
| 1467409961 | Abdullah Al Farooque | Internal Medicine | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-05-28 |
| 1740241314 | John L Antus | Internal Medicine | 9306 Forest Point Cir, Manassas, VA 20110-4700 | 2006-03-31 |
| 1588649990 | Gilbert Raymond Irwin | Internal Medicine | 9590 Surveyor Ct, Manassas, VA 20110-4406 | 2005-12-08 |
| 1659356079 | Thomas Charles Dotson | Internal Medicine | 10945 George Mason Cir Ste 105, Manassas, VA 20110-2234 | 2005-12-08 |
| Find all providers in MANASSAS | ||||
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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.