CORNWALL SURGERY CENTER (NPI# 1669772943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669772943 |
| Entity Type | Organization |
| Organization Name | CORNWALL SURGERY CENTER |
| Practice Address |
224d Cornwall St Nw Suite 300 Leesburg VA 20176-2704 |
| Practice Telephone | 7037777477 |
| Practice Fax Number | 7037772050 |
| Mailing Telephone | 7037777477 |
| Mailing Fax Number | 7037772050 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Authorized Official Name | STEPHANIE KRUELLE (BILLING SPECIALIST) |
| Authorized Official Telephone | 7037777477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
224D CORNWALL ST NW SUITE 300 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057686 | Michael K Kuo | Physical Medicine & Rehabilitation | 224d Cornwall St Nw, Suite 202, Leesburg, VA 20176-2700 | 2005-07-20 |
| 1356951651 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 224d Cornwall St Nw, Leesburg, VA 20176-2713 | 2020-08-03 |
| 1104377746 | Loudoun Medical Group . P.c | Sleep Specialist, PhD | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2016-10-19 |
| 1194275339 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 | 2016-10-12 |
| 1952851107 | Loudoun Medical Group . P.c | Internal Medicine | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2016-10-12 |
| 1679927560 | Loudoun Medical Group PC | Physical Medicine & Rehabilitation | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2016-04-18 |
| 1093186587 | Nicole Langdon Price | Nurse Practitioner | 224d Cornwall St Nw, Leesburg, VA 20176-2700 | 2015-10-09 |
| 1609113380 | Kristen D Ritch | Physician Assistant | 224d Cornwall St Nw, Suite 102, Leesburg, VA 20176-2700 | 2013-01-15 |
| 1245586015 | Loudoun Medical Group PC | Internal Medicine | 224d Cornwall St Nw, Suite 303, Leesburg, VA 20176-2700 | 2012-07-31 |
| 1982981924 | Loudoun Medical Group PC | Orthopaedic Surgery | 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 | 2011-11-04 |
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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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1225281678 | Virginia Chiantella Md PC | Clinic/Center | 821 S King St Ste D, Leesburg, VA 20175-3914 | 2008-10-29 |
| 1598791105 | Total Eye Care Surgery Center Inc | Clinic/Center | 640 S Lake St, Leesburg, FL 34748-5927 | 2006-06-24 |
| 1073534012 | Countryside Ambulatory Surg Center | Clinic/Center | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2006-07-23 |
| 1063442077 | Inova Loudoun Ambulatory Surgery | Clinic/Center | 44035 Riverside Pkwy, Suite 200, Leesburg, VA 20176-8260 | 2006-07-04 |
| 1235165531 | Lake Surgery & Endoscopy Center Ltd | Clinic/Center | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-06-25 |
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| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1306486634 | Fredericksburg Endoscopy Center, LLC | Clinic/Center | 1211 Central Park Blvd, Fredericksburg, VA 22401-4912 | 2020-01-15 |
| 1063058303 | Chesapeake Regional Surgery Center At Virginia Beach, LLC | Clinic/Center | 229 Clearfield Ave Ste 200, Virginia Beach, VA 23462-1815 | 2019-11-21 |
| 1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
| 1720543481 | Surgical Suites of Coastal Virginia, LLC | Clinic/Center | 400 Sentara Cir Ste 200, Williamsburg, VA 23188-5716 | 2019-02-07 |
| 1962980045 | New Womens Health Charlottesville | Clinic/Center | 2050 Abbey Rd Ste D, Charlottesville, VA 22911-3553 | 2018-08-01 |
| 1518450790 | Virginia Ent Surgery Center Inc | Clinic/Center | 6600 W Broad St Ste 210, Richmond, VA 23230-1709 | 2018-06-12 |
| 1336649714 | Healthqare Services Asc LLC | Clinic/Center | 1005 N Glebe Rd Ste 200, Arlington, VA 22201-5792 | 2018-02-13 |
| 1104349489 | Valley Health Surgery Center, LLC | Clinic/Center | 174 Botanical Boulevard, Winchester, VA 22603 | 2017-07-19 |
| 1285169011 | Us Taxi Service LLC | Clinic/Center | 10824 Tutelo Ct, Glen Allen, VA 23059-8033 | 2017-04-30 |
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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.