MACKENZIE GONDER


Address: 1860 Town Center Dr Ste 240, Reston, VA 20190-5899
Phone: 7037961986

MACKENZIE GONDER (NPI# 1679972608) 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) 1679972608
Entity Type Individual
Full Name MACKENZIE GONDER
Practice Address 1860 Town Center Dr Ste 240
Reston
VA 20190-5899
Practice Telephone 7037961986
Enumeration Date 2014-08-14
Last Update Date 2014-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1860 TOWN CENTER DR STE 240
City RESTON
State VA
Zip Code 20190-5899

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427487784 Samantha Major Frazier Physician Assistant 1860 Town Center Dr Ste 240, Reston, VA 20190-5899 2013-11-07
1598322406 Agata Alicja Greer Physician Assistant 1860 Town Center Dr Ste 240, Reston, VA 20190-5899 2019-05-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912548470 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 2019-10-04
1205483260 Northern Virginia Applied Behavior Analysis, L.L.C. Behavioral Analyst 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 2019-08-23
1336796481 Sandra Chiunda Nurse Practitioner 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 2019-08-23
1891357232 Beyond Counseling, Inc. Clinic/Center 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 2019-07-06
1003470063 Sarah Katharina Jungnitsch Registered Nurse Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 2019-04-25
1194202341 May Health Care Services Inc Home Health 12110 Sunset Hills Road Suite 600, Reston, VA 20190 2018-07-20
1245739895 Carlee B. Genung Physician Assistant 1760 Reston Parkway Suite 306, Reston, VA 20190 2018-02-09
1760901045 Kristen Kelly Dietitian, Registered 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 2017-09-18
1245778992 Sarah Christine Bernstein Occupational Therapist 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 2017-02-02
1023495298 Phillip Nguyen Dentist 1800 Town Center Dr Ste 116, Reston, VA 20190 2015-04-27
Find all providers in zip 20190

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073126215 Nickolas Patrick Forsberg Physician Assistant 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 2020-08-27
1902457385 Abigail P Nelson Physician Assistant 12005 Sunrise Valley Dr Ste 120, Reston, VA 20191-3469 2019-09-26
1477110765 Laura Norman Physician Assistant 1860 Town Center Dr Ste 335, Reston, VA 20190-5900 2019-05-22
1245739895 Carlee B. Genung Physician Assistant 1760 Reston Parkway Suite 306, Reston, VA 20190 2018-02-09
1902232747 Samantha L Chang Physician Assistant 1850a Town Center Pkwy # 1, Suite 209, Reston, VA 20190-5851 2013-09-25
1982036786 Stephanie Lourdes Miller Physician Assistant 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 2013-08-02
1316295504 Leigh Brewster Charron Physician Assistant 1800 Town Center Dr Ste 212, Reston, VA 20190-3238 2012-08-21
1902137193 Amy Beckwith Rembold Physician Assistant 1800 Town Center Dr Ste 220, Reston, VA 20190-3238 2010-01-27
1184881583 Christina M Barnett Physician Assistant 1860 Town Center Dr Ste 270, Reston, VA 20190-5899 2008-05-22
1760436620 Lindsay D Orosz Physician Assistant 11800 Sunrise Valley Dr Ste 800, Reston, VA 20191 2006-05-22
Find all providers in RESTON

Competitor

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City RESTON
Zip Code 20190

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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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