CSSSDWC


Address: 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700
Phone: 7037771553

CSSSDWC (NPI# 1588941629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588941629
Entity Type Organization
Organization Name CSSSDWC
Practice Address 224d Cornwall St Nw
Suite 204
Leesburg
VA 20176-2700
Mailing Address Po Box 17334
Baltimore
MD 21297-1334
Practice Telephone 7037771553
Practice Fax Number 7037775524
Mailing Telephone 7034436717
Mailing Fax Number 7034438643
Enumeration Date 2011-11-03
Last Update Date 2011-11-03
Authorized Official Name IAN M WATTENMAKER (DOCTOR)
Authorized Official Telephone 7037771553
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
Allopathic & Osteopathic Physicians

Office Location

Street Address 224D CORNWALL ST NW
SUITE 204
City LEESBURG
State VA
Zip Code 20176-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427057686 Michael K Kuo Physical Medicine & Rehabilitation 224d Cornwall St Nw, Suite 202, Leesburg, VA 20176-2700 2005-07-20
1356951651 Medical Center Orthotics and Prosthetics, LLC Prosthetic/Orthotic Supplier 224d Cornwall St Nw, Leesburg, VA 20176-2713 2020-08-03
1104377746 Loudoun Medical Group . P.c Sleep Specialist, PhD 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 2016-10-19
1194275339 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 2016-10-12
1952851107 Loudoun Medical Group . P.c Internal Medicine 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 2016-10-12
1679927560 Loudoun Medical Group PC Physical Medicine & Rehabilitation 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 2016-04-18
1093186587 Nicole Langdon Price Nurse Practitioner 224d Cornwall St Nw, Leesburg, VA 20176-2700 2015-10-09
1609113380 Kristen D Ritch Physician Assistant 224d Cornwall St Nw, Suite 102, Leesburg, VA 20176-2700 2013-01-15
1245586015 Loudoun Medical Group PC Internal Medicine 224d Cornwall St Nw, Suite 303, Leesburg, VA 20176-2700 2012-07-31
1982981924 Loudoun Medical Group PC Orthopaedic Surgery 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 2011-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053912923 Timothy Michael Nixon Pharmacist 61 Catoctin Circle, Leesburg, VA 20176 2020-11-05
1558996645 Stacey E Moran Occupational Therapist 44124 Woodrige Parkway, Lansdowne, VA 20176 2020-03-09
1710531272 Joseph H Kasuska Jr. Specialist/Technologist 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 2019-08-01
1568935849 Joel Manalang Polintan Jr. Physical Therapist 171 Cedarwalk Circle, Leesburg, VA 20176 2019-01-09
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
Find all providers in zip 20176

Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134413230 Loudoun Medical Group PC Orthopaedic Surgery 19450 Deerfield Ave Ste 300, Leesburg, VA 20176-6821 2011-06-06
1134427453 Orthopaedic & Spine Surgery Institute Pllc Orthopaedic Surgery 19465 Deerfield Ave, Suite 207 & 307, Leesburg, VA 20176-1701 2011-03-10
1164698999 Loudoun Medical Group PC Orthopaedic Surgery 224 D Cornwall Street Nw, Suite 204, Leesburg, VA 20176 2008-05-01
1225130966 Ali Moshirfar Orthopaedic Surgery 19450 Deerfield Ave Ste 300, Leesburg, VA 20176-6821 2006-09-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548883192 Spine Center PC Orthopaedic Surgery 2726 Electric Rd Ste 203a, Roanoke, VA 24018-3528 2020-05-18
1992299598 Hasz Spine Institute PC Orthopaedic Surgery 1830 Town Center Dr Ste 102, Reston, VA 20190-3216 2018-06-18
1881188506 Nikhil Jain Orthopaedic Surgery 1215 Lee St - Box Number 800159, Charlottesville, VA 22908-0816 2018-06-16
1922516806 Joint Replacement Cin of Northern Virginia LLC Orthopaedic Surgery 1900 Campus Commons Dr Ste 100a, Reston, VA 20191-1561 2018-01-13
1134562051 Elliott Jiwoo Kim Orthopaedic Surgery 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 2013-04-10
1255695490 Advanced Spine and Pain Pllc Orthopaedic Surgery 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 2012-07-03
1134490311 Advanced Spine and Pain Pllc Orthopaedic Surgery 1625 N George Mason Drive Suite 345, Arlington, VA 22205 2012-01-20
1831426204 Maryview Hospital Orthopaedic Surgery 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 2009-11-05
1144403262 Kirven Orthopedic Group, P.C. Orthopaedic Surgery 5701 Cleveland Street, Suite 600, Virginia Beach, VA 23462 2007-12-12
1699859058 Adel S Kebaish Orthopaedic Surgery 7787 Leesburg Pike, B, Falls Church, VA 22043-2412 2006-10-24
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Competitor

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City LEESBURG
Zip Code 20176

Improve Information

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Dataset Information

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.

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