DERMATOLOGY CENTER OF LOUDOUN, PLC (NPI# 1699972406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699972406 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY CENTER OF LOUDOUN, PLC |
| Practice Address |
19455 Deerfield Ave Suite 311 Leesburg VA 20176-8100 |
| Practice Telephone | 7037239751 |
| Practice Fax Number | 7037239752 |
| Mailing Telephone | 7037239751 |
| Mailing Fax Number | 7037239752 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | DR. JANE T NGUYEN (OWNER) |
| Authorized Official Telephone | 7037239751 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
19455 DEERFIELD AVE SUITE 311 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518412477 | Britton Schaeufele | Specialist/Technologist | 19455 Deerfield Ave, #312, Leesburg, VA 20176-8100 | 2016-08-22 |
| 1700274008 | On Point Pathology LLC | Clinical Medical Laboratory | 19455 Deerfield Ave, Suite #202, Leesburg, VA 20176 | 2015-01-08 |
| 1124450408 | Loudoun Medical Group PC | Psychiatry & Neurology | 19455 Deerfield Ave, Suite 310, Leesburg, VA 20176-8100 | 2013-08-08 |
| 1407100308 | Colleen Nappi | Specialist | 19455 Deerfield Ave, Suite 201, Leesburg, VA 20176-8100 | 2012-10-31 |
| 1730330374 | Loudoun Medical Group PC | Obstetrics & Gynecology | 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176 | 2008-10-01 |
| 1619178464 | Loudoun Obgyn, P.C. | Specialist | 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8446 | 2007-05-30 |
| 1467581504 | Jennifer M Hickman | Obstetrics & Gynecology | 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8100 | 2007-03-05 |
| 1992869861 | Jahanbakhsh Naghshin | Internal Medicine | 19455 Deerfield Ave, Suite 206, Leesburg, VA 20176-8102 | 2006-12-21 |
| 1730268343 | Colon, Stomach and Liver Center, LLC | Internal Medicine | 19455 Deerfield Ave, Suite 201, Leesburg, VA 20176-8446 | 2006-11-03 |
| 1053491704 | Elisabeth Ann Fox | Otolaryngology | 19455 Deerfield Ave, Suite 301, Leesburg, VA 20176 | 2006-10-17 |
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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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134385255 | Katherine Marie Mercy | Dermatology | 19465 Deerfield Ave Ste 401, Leesburg, VA 20176-1707 | 2008-07-29 |
| 1396834974 | Elaine Teresa Eliezer | Dermatology | 823a South King St, Suite A, Leesburg, VA 20175-3920 | 2006-10-12 |
| 1447256201 | Kevin E Chun | Dermatology | 1132 E North Blvd, Leesburg, FL 34748-5350 | 2005-06-24 |
| 1174153969 | Jeren Robert Kowalewski | Dermatology | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2020-01-21 |
| 1710001235 | Loudoun Medical Group PC | Dermatology | 19415 Deerfield Ave, Suite 314, Leesburg, VA 20176-8452 | 2007-03-19 |
| 1679591440 | Loudoun Medical Group PC | Dermatology | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2006-07-18 |
| 1275585473 | Jane T Nguyen | Dermatology | 19455 Deerfield Ave, Suite 311, Leesburg, VA 20176-8100 | 2006-05-16 |
| 1609860337 | Michael Mclain Todd | Dermatology | 19465 Deerfield Ave, Suite 401, Leesburg, VA 20176-1701 | 2005-09-08 |
| 1104819739 | Roberta Maureen Moreland | Dermatology | 19415 Deerfield Ave, Suite 314, Leesburg, VA 20176-8452 | 2005-08-30 |
| 1649263195 | Van Trong Ha | Dermatology | 19415 Deerfield Ave, Ste 314, Leesburg, VA 20176-8452 | 2005-08-30 |
| 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.