PRINCE WILLIAM AMBULATORY SURGERY CENTER, LLC (NPI# 1528077658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528077658 |
| Entity Type | Organization |
| Organization Name | PRINCE WILLIAM AMBULATORY SURGERY CENTER, LLC |
| Other Organization Name | PRINCE WILLIAM SURGERY CENTER |
| Practice Address |
8644 Sudley Rd Suite 201 Manassas VA 20110-4417 |
| Practice Telephone | 7033698525 |
| Practice Fax Number | 5712291533 |
| Mailing Telephone | 7033698525 |
| Mailing Fax Number | 5712291533 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OH695 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010274656 | 05 | |
| MAMSI/UHC | 2142411 | 01 | |
| UHC | 2579620 | 01 | |
| ANTHEM HEALTHKEEPERS | 186080 | 01 | |
| VA | ANTHEM | 186080 | 01 |
| CIGNA | 9731258 | 01 | |
| MDIPA/OPTIMUM CHOICE | 2142411 | 01 |
| Other Name | Type Code |
|---|---|
| Prince William Surgery Center | Other Name - Individual/Organization |
| Street Address |
8644 SUDLEY RD SUITE 201 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719536 | Sassan Hassassian | Anesthesiology | 8644 Sudley Rd, Ste 117, Manassas, VA 20110-4417 | 2005-06-13 |
| 1861906661 | Robbie Lynnel Neal | Nurse Practitioner | 8644 Sudley Rd, Manassas, VA 20110 | 2017-12-01 |
| 1386053502 | Nmg Affiliate Practice I LLC | Psychiatry & Neurology | 8644 Sudley Rd, Suite 315, Manassas, VA 20110-4417 | 2014-08-13 |
| 1568720225 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 8644 Sudley Rd, Suite 117, Manassas, VA 20110-4417 | 2012-05-01 |
| 1649583717 | Nadia M Ghieth | Physical Therapist | 8644 Sudley Rd, Suite 308, Manassas, VA 20110-4417 | 2010-07-19 |
| 1801035548 | Prosperity Prince William Rx Inc | Pharmacy | 8644 Sudley Rd, Suite 120, Manassas, VA 20110-4417 | 2009-02-19 |
| 1144466798 | Anna-marie E. Hammond | Physical Therapist | 8644 Sudley Rd, Suite 310, Manassas, VA 20110-4417 | 2009-01-05 |
| 1619127982 | Vinod B Patel | Pharmacist | 8644 Sudley Rd, Suite 120, Manassas, VA 20110-4417 | 2008-09-23 |
| 1457513848 | Uyenphuong Ho Le | Internal Medicine | 8644 Sudley Rd, Suite 118, Manassas, VA 20110-4417 | 2008-06-27 |
| 1316151632 | Nicole Dirienzo | Psychiatry & Neurology | 8644 Sudley Rd, Suite 315, Manassas, VA 20110-4417 | 2007-05-09 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598952061 | Endoscopy Associates, LLC | Clinic/Center | 8409 Dorsey Cir, Suite 101, Manassas, VA 20110-8305 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1093344210 | Virginia Womens Center for Aesthetics | Clinic/Center | 19490 Sandridge Way Ste 360, Leesburg, VA 20176-3467 | 2020-04-08 |
| 1306486634 | Fredericksburg Endoscopy Center, LLC | Clinic/Center | 1211 Central Park Blvd, Fredericksburg, VA 22401-4912 | 2020-01-15 |
| 1063058303 | Chesapeake Regional Surgery Center At Virginia Beach, LLC | Clinic/Center | 229 Clearfield Ave Ste 200, Virginia Beach, VA 23462-1815 | 2019-11-21 |
| 1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
| 1720543481 | Surgical Suites of Coastal Virginia, LLC | Clinic/Center | 400 Sentara Cir Ste 200, Williamsburg, VA 23188-5716 | 2019-02-07 |
| 1962980045 | New Womens Health Charlottesville | Clinic/Center | 2050 Abbey Rd Ste D, Charlottesville, VA 22911-3553 | 2018-08-01 |
| 1518450790 | Virginia Ent Surgery Center Inc | Clinic/Center | 6600 W Broad St Ste 210, Richmond, VA 23230-1709 | 2018-06-12 |
| 1336649714 | Healthqare Services Asc LLC | Clinic/Center | 1005 N Glebe Rd Ste 200, Arlington, VA 22201-5792 | 2018-02-13 |
| 1104349489 | Valley Health Surgery Center, LLC | Clinic/Center | 174 Botanical Boulevard, Winchester, VA 22603 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
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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.