MICHAEL MCLAIN TODD (NPI# 1609860337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609860337 |
| Entity Type | Individual |
| Full Name | MICHAEL MCLAIN TODD |
| Credential | MD |
| Practice Address |
19465 Deerfield Ave Suite 401 Leesburg VA 20176-1701 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037235700 |
| Practice Fax Number | 7037235778 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 0101235935 | VA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
0101235935 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010075424 | 05 | |
| VA | RR MEDICARE | P00307175 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730494774 | Michael Brooks Todd | Occupational Therapy Assistant | 325 Windsor Estates Dr, Davenport, FL 33837-9606 | 2010-08-14 |
| 1023253218 | Michael David Todd | Counselor | 4942 E Yale Ave Ste 103, Fresno, CA 93727-1572 | 2008-12-03 |
| 1467623678 | Michael Wesley Todd Sr. | Chiropractor | 1711 Sheepshead Bay Rd Lowr Level, Brooklyn, NY 11235-3651 | 2008-03-14 |
| 1831133628 | Michael Anthony Todd | Optometrist | 788 White Horse Pike, Absecon, NJ 08201-1416 | 2006-06-15 |
| 1831136456 | Michael A Todd | Surgery | 4100 Lake Otis Pkwy Ste 302, Anchorage, AK 99508-5230 | 2006-06-01 |
| 1902883937 | Michael Ulland Todd | Family Medicine | 4600 Mcauley Pl Ste 112, Blue Ash, OH 45242-4765 | 2005-12-30 |
| 1124016282 | Michael A Todd | Pathology | 200 Hwy 30 W, New Albany, MS 38652-3112 | 2005-10-12 |
| 1437151750 | Michael Sean Todd | Dentist | 1500 Vandiver, Suite 104, Columbia, MO 65202 | 2005-06-01 |
| 1942823653 | Michael James Todd | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-05-28 |
| 1861955288 | Michael Todd | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2019-04-11 |
| Street Address |
19465 DEERFIELD AVE SUITE 401 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306830179 | Virginia Marie Hackenberg | Obstetrics & Gynecology | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2005-09-07 |
| 1255787099 | Loudoun Medical Group PC | Internal Medicine | 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701 | 2016-05-11 |
| 1164809414 | Loudoun Medical Group PC | Allergy & Immunology | 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701 | 2015-05-06 |
| 1467873067 | Kimberly Anne Gregory | Advanced Practice Midwife | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2013-12-27 |
| 1083035893 | Heather K Swartz | Advanced Practice Midwife | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2013-12-20 |
| 1215358155 | Loudoun Medical Group PC | Physical Therapist | 19465 Deerfield Ave, Suite 207, Leesburg, VA 20176-1701 | 2013-12-19 |
| 1578803490 | Sara R Scott | Physical Therapist | 19465 Deerfield Ave, Leesburg, VA 20176-1701 | 2013-03-01 |
| 1801136635 | Loudoun Medical Group PC | Internal Medicine | 19465 Deerfield Ave, Suite 309, Leesburg, VA 20176-1701 | 2013-02-14 |
| 1922347236 | Vishakha Nabar | Physical Therapist | 19465 Deerfield Ave, Suite 208, Leesburg, VA 20176-1701 | 2013-02-06 |
| 1346529773 | Natalie Buller Miller | Speech-Language Pathologist | 19465 Deerfield Ave, #201, Leesburg, VA 20176-1701 | 2011-08-16 |
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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 |
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| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992035695 | Macinnis Dermatology | Dermatology | 27950 Us Highway 27, Leesburg, FL 34748-9050 | 2010-01-04 |
| 1831188630 | Michel A Snyder | Dermatology | 608 S 9th St, Ste C, Leesburg, FL 34748-6342 | 2005-10-14 |
| 1356465769 | Loudoun Medical Group PC | Dermatology | 19465 Deerfield Ave, Suite 401, Leesburg, VA 20176-1701 | 2007-03-19 |
| 1700828290 | Colleen Macinnis | Dermatology | 4120 Corley Island Rd, Suite 600, Leesburg, FL 34748-8292 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578129599 | Metro Mohs Surgery Center, LLC | Dermatology | 5501 Backlick Rd Ste 120, Springfield, VA 22151-3940 | 2019-05-15 |
| 1699927129 | Harry Leslie Parlette IIi | Dermatology | 125 Terrell Rd E, Charlottesville, VA 22901-2166 | 2008-10-15 |
| 1578722260 | Soonyou Kwon | Dermatology | 8100 Boone Blvd Ste 300, Vienna, VA 22182-2642 | 2008-06-06 |
| 1457483869 | Martha L Wilson Md Pa | Dermatology | 104 E Stuart Dr, Galax, VA 24333-2119 | 2007-03-12 |
| 1669561791 | Advanced Dermatology of Charlottesville, Plc | Dermatology | 600 Peter Jefferson Parkway Suite 350, Charlottesville, VA 22911 | 2006-10-12 |
| 1063524593 | Oyster Point Dermatology Inc | Dermatology | 11844 Rock Landing Dr Ste B, Newport News, VA 23606-4202 | 2006-08-31 |
| 1275586190 | Amir Bajoghli | Dermatology | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3666 | 2006-05-19 |
| 1568441897 | Dermatologic Surgery of Central Virginia Plc | Dermatology | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2006-01-13 |
| 1003440355 | Absolute Dermatology P.C. | Dermatology | 5207 Hickory Park Dr Ste A, Glen Allen, VA 23059-2624 | 2020-02-26 |
| 1053944652 | Forefront Dermatology, S.c. | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2020-02-21 |
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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.