DR. GREGORY D BENTZ (NPI# 1629198866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629198866 |
| Entity Type | Individual |
| Full Name | DR. GREGORY D BENTZ |
| Credential | MD, PHD |
| Practice Address |
44045 Riverside Pkwy Medical Staff Office - Inova Loudoun Hospital Leesburg VA 20176-5101 |
| Practice Telephone | 7038588021 |
| Practice Fax Number | 7038588970 |
| Mailing Telephone | 7038588021 |
| Mailing Fax Number | 7038588970 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101046924 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867093 | Gregory Dean Bentz Jr. | Student in an Organized Health Care Education/Training Program | 600 Crawford St, Portsmouth, VA 23704-3820 | 2018-04-03 |
| Street Address |
44045 RIVERSIDE PKWY MEDICAL STAFF OFFICE - INOVA LOUDOUN HOSPITAL |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016821 | Jennifer Gut | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2005-07-14 |
| 1376161885 | Alexis Lydia Doherty | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-07-10 |
| 1942821038 | Melissa Lynn Hwang | Registered Nurse | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-04-30 |
| 1366061574 | Commonwealth Emergency Physicians PC | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-04-09 |
| 1497387328 | Hannah Burzumato | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-08 |
| 1437781523 | Premier Trauma and Surgical Specialists LLC | Physician Assistant | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-07 |
| 1023640182 | Margaret Smith Lynch | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-06 |
| 1427694454 | Mary Christine Hogan | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2019-11-25 |
| 1669020442 | Brittany Marie Colley | Radiology | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2019-08-26 |
| 1457837395 | Susan Park Howell | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2018-07-13 |
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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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1902325608 | Loudoun Medical Group, P.C. | Family Medicine | 224d Cornwall St Nw Ste 102, Leesburg, VA 20176-2700 | 2017-09-13 |
| 1912352741 | Jessica Omodele Wright | Family Medicine | 51 Catocin Cir Ne, Leesburg, VA 20176-3100 | 2016-04-29 |
| 1528491156 | Carehere LLC | Family Medicine | 1908 Center St, Leesburg, FL 34748-4812 | 2013-08-19 |
| 1992049654 | Jan Julius Brandt | Family Medicine | 14682 Chapel Ln, Leesburg, VA 20176-5276 | 2012-11-19 |
| 1447523493 | Pablo Doldy Cardona | Family Medicine | 26540 Ace Ave Ste 108c, Leesburg, FL 34748-8279 | 2012-02-21 |
| 1245518638 | Yashel Wedderburn Landell | Family Medicine | 8113 Centralia Ct Ste 102, Leesburg, FL 34788-7521 | 2011-08-02 |
| 1851608053 | Rolando J Menendez Md Pa | Family Medicine | 733 N 3rd St, Leesburg, FL 34748-4441 | 2010-09-09 |
| 1922291848 | William Joseph Briglia Sr. | Family Medicine | 4293 Rt 47, Medical Dept Bayside State Prison, Leesburg, NJ 08327 | 2007-08-23 |
| 1376636134 | Yoyen Lau | Family Medicine | 280 Industrial Blvd, Leesburg, AL 35983 | 2006-10-02 |
| Find all providers in LEESBURG | ||||
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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.