REGENERATIVE MEDICINE CENTER, PLC (NPI# 1578744801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578744801 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE MEDICINE CENTER, PLC |
| Other Organization Name | PAIN MANAGEMENT CENTER OF VIRGINIA, PLC |
| Practice Address |
11800 Sunrise Valley Drive Suite 500 Reston VA 20191-5327 |
| Practice Telephone | 7037091383 |
| Practice Fax Number | 7037096516 |
| Mailing Telephone | 7037091383 |
| Mailing Fax Number | 7037096516 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | NANCY GOLDBRANSON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7037096515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pain Management Center of Virginia, PLC | Former Legal Business Name - Organization |
| Street Address |
11800 SUNRISE VALLEY DRIVE SUITE 500 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285007443 | Lauren M Sylvina | Physician Assistant | 11800 Sunrise Valley Drive, Suite 800, Reston, VA 20191 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174613186 | The Austin-weston Center for Cosmetic Surgery | Clinic/Center | 1825 Samuel Morse Dr, Reston, VA 20190-5317 | 2006-10-13 |
| 1659335438 | Reston Surgery Center, Lp | Clinic/Center | 1860 Town Center Dr, Suite G100, Reston, VA 20190-5896 | 2006-04-17 |
| 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.