IAN MICHAEL WATTENMAKER


Address: 19450 Deerfield Ave Ste 300, Leesburg, VA 20176-6821
Phone: 7037771553

IAN MICHAEL WATTENMAKER (NPI# 1629077854) 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) 1629077854
Entity Type Individual
Full Name IAN MICHAEL WATTENMAKER
Credential M.D.
Practice Address 19450 Deerfield Ave Ste 300
Leesburg
VA 20176-6821
Mailing Address 224d Cornwall St Nw Ste 403
Leesburg
VA 20176-2704
Practice Telephone 7037771553
Practice Fax Number 7037775524
Mailing Telephone 7037376001
Mailing Fax Number 7034438643
Enumeration Date 2005-07-19
Last Update Date 2020-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 0101049672 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 19450 DEERFIELD AVE STE 300
City LEESBURG
State VA
Zip Code 20176-6821

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982148441 Loudoun Medical Group, P.C. Specialist 19450 Deerfield Ave Ste 300, Leesburg, VA 20176-6821 2016-12-16
1134413230 Loudoun Medical Group PC Orthopaedic Surgery 19450 Deerfield Ave Ste 300, Leesburg, VA 20176-6821 2011-06-06
1225130966 Ali Moshirfar Orthopaedic Surgery 19450 Deerfield Ave Ste 300, Leesburg, VA 20176-6821 2006-09-02

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 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992318067 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 2020-08-28
1093324378 Loudoun Medical Group . P.c Orthopaedic Surgery 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 2020-07-23
1750999892 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 2020-07-15
1184137242 K2m, Inc. Orthopaedic Surgery K2m, Inc., 600 Hope Parkway Se, Leesburg, VA 20175 2017-11-13
1689082208 Peter Melcher Orthopaedic Surgery 4646 Summerbridge Cir, Leesburg, FL 34748-7486 2014-07-28
1629192141 Loudoun Medical Group PC Orthopaedic Surgery 19 Fort Evans Rd Ne Ste C, Leesburg, VA 20176-4487 2007-03-19
1790811370 George P Rowan Orthopaedic Surgery 18419 Rim Rock Cir, Leesburg, VA 20176-6832 2007-02-26
1346342565 James Ticknor Gable Orthopaedic Surgery 224 D Cornwall Street Nw, Suite 204, Leesburg, VA 20176-4407 2006-09-01
1538194345 Claudia L Thomas Orthopaedic Surgery 701 Medical Plaza Dr, Leesburg, FL 34748-7313 2006-07-11
1588655740 Michael Andrew Kavanagh Orthopaedic Surgery 224d Cornwall St Nw Ste 204, Leesburg, VA 20176-2700 2005-11-04
Find all providers in LEESBURG

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City LEESBURG
Zip Code 20176

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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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