STATHEALTH MEDICAL CENTERS INC (NPI# 1598885519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598885519 |
Entity Type | Organization |
Organization Name | STATHEALTH MEDICAL CENTERS INC |
Other Organization Name | FAMILY MEDICINE AT LANSDOWNE |
Practice Address |
19450 Deerfield Ave Suite 265 Leesburg VA 20176 |
Mailing Address |
19450 Deerfield Ave Suite 265 Leesburg VA 20176-6820 |
Practice Telephone | 7037268687 |
Practice Fax Number | 7037260081 |
Mailing Telephone | 7037268687 |
Mailing Fax Number | 7037260081 |
Enumeration Date | 2007-03-31 |
Last Update Date | 2020-05-21 |
Authorized Official Name | DR. ROBERT SAUNDERS (PRESIDENT) |
Authorized Official Telephone | 7037268687 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 0101235372 | VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SSN | $$$$$$$$$ | 01 | |
VA | NPI | 1194729970 | 01 |
Other Name | Type Code |
---|---|
Family Medicine at Lansdowne | Doing Business As Name - Organization |
Street Address |
19450 DEERFIELD AVE SUITE 265 |
City | LEESBURG |
State | VA |
Zip Code | 20176 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043219710 | Sandhya Chanda | Internal Medicine | 19450 Deerfield Ave, Suite 400, Leesburg, VA 20176-6820 | 2005-07-15 |
1043676182 | Loudoun Medical Group PC | Clinical Medical Laboratory | 19450 Deerfield Ave, Suite 375, Leesburg, VA 20176-6820 | 2016-01-05 |
1982010302 | Virginia Cardiovascular Group, LLC | Clinic/Center | 19450 Deerfield Ave, Ste 335, Leesburg, VA 20176-6820 | 2014-07-07 |
1184042095 | Emily Courtney | Occupational Therapist | 19450 Deerfield Ave, Ste 100, Leesburg, VA 20176-6821 | 2014-03-29 |
1790053171 | Loudoun Medical Group PC | Psychiatry & Neurology | 19450 Deerfield Ave, Suite 175, Leesburg, VA 20176-6820 | 2011-12-13 |
1912161977 | Roya Azadarmaki | Otolaryngology | 19450 Deerfield Ave, Suite 400, Leesburg, VA 20176-6820 | 2008-07-17 |
1790942266 | Nidhi Gill | Internal Medicine | 19450 Deerfield Ave, Suite 400, Leesburg, VA 20176-6820 | 2008-05-21 |
1154590883 | Commonwealth Orthopaedics & Rehabilitation, PC | Physical Therapist | 19450 Deerfield Ave, Suite 400, Leesburg, VA 20176-6820 | 2008-02-27 |
1215133442 | Commonwealth Orthopaedics & Rehabilittion, PC | Orthopaedic Surgery | 19450 Deerfield Ave, Suite 400, Leesburg, VA 20176-6820 | 2007-06-25 |
1750418455 | Keriya Adem | Pediatrics | 19450 Deerfield Ave, Suite 200, Leesburg, VA 20176-6820 | 2007-02-28 |
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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 Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1235553082 | Leesburg Regional Medical Center Inc. | Clinic/Center | 550 E. Dixie Ave, Leesburg, FL 34748 | 2014-02-14 |
1942750088 | North Spring Behavioral Healthcare Inc | Clinic/Center | 42045 Victory Lane, Leesburg, VA 20176 | 2016-10-13 |
1821408840 | Leesburg Regional Medical Center | Clinic/Center | 550 E. Dixie Ave, Leesburg, FL 34748 | 2014-04-29 |
1598841389 | Lrmc Urgent Care Center | Clinic/Center | 550 E Dixie Ave, Leesburg, FL 34748-5925 | 2006-10-27 |
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1770122723 | Colonial Beach Health & Wellness Inc | Clinic/Center | 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 | 2019-12-21 |
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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.