NOVANT MEDICAL GROUP INC (NPI# 1639509458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639509458 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH INPATIENT CARE SPECIALISTS HAYMARKET |
| Practice Address |
15225 Heathcote Blvd Haymarket VA 20169 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 5712843366 |
| Practice Fax Number | 5712843369 |
| Mailing Telephone | 5712843366 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2014-01-07 |
| Authorized Official Name | GEOFFREY K. GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Inpatient Care Specialists Haymarket | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
| 1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
| 1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
| 1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
| 1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
| Street Address |
15225 HEATHCOTE BLVD |
| City | HAYMARKET |
| State | VA |
| Zip Code | 20169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609064161 | Malikah Hafeeza Day | Pharmacist | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2007-10-10 |
| 1356997357 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-08-15 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1619462454 | Dorris Lockamy Glaspy | Nurse Practitioner | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2018-06-25 |
| 1437698636 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2017-02-21 |
| 1841657434 | Prince William Hospital | Nurse Anesthetist, Certified Registered | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2016-01-27 |
| 1407211451 | Nmg Affiliate Practice I LLC | Family Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-17 |
| 1154796696 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-09 |
| 1003244260 | Evelyn Roxana Saldana | Nurse Practitioner | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2013-10-28 |
| 1124369137 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169 | 2013-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831608025 | Renu Kaur | Social Worker | 15709 Foleys Mill Place, Haymarket, VA 20169 | 2017-09-20 |
| 1760928188 | Meae Nam | Home Health Aide | 6429 Ashby Grove Loop, Haymarket, VA 20169 | 2017-01-09 |
| 1497177406 | Candy Faviola Suarez | Physician Assistant | 15195 Heathcote Blvd Ste 230, Haymarket, VA 20169 | 2014-01-09 |
| 1649617101 | Nicholas Dugan | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169 | 2013-05-23 |
| 1336497049 | Wal-mart Stores East Lp | Technician/Technologist | 6530 Trading Square, Haymarket, VA 20169 | 2012-08-28 |
| 1750637641 | Hema R Gajula | Psychiatry & Neurology | 15195 Heathcote Blvd Ste 350, Haymarket, VA 20169 | 2012-07-27 |
| 1689950396 | Meskerem Getachew | Pharmacist | 15610 Admiral Baker Circle, Haymarket, VA 20169 | 2011-10-26 |
| 1770861213 | Jenna Siracuse Loewer | Physical Therapist | 5401 Merchants View Sq, Haymarket, VA 20169 | 2011-08-02 |
| 1669767679 | Jeff Moon | Dentist | 6735 Leaberry Way, Haymarket, VA 20169 | 2011-06-17 |
| 1710159272 | David Wen | Psychologist | 6611 Jefferson St Ste 304, Haymarket, VA 20169 | 2008-03-25 |
| Find all providers in zip 20169 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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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.