NMG AFFILIATE PRACTICE I, LLC (NPI# 1780028373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780028373 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I, LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN |
| Practice Address |
7915 Lake Manassas Dr Suite 205 Gainesville VA 20155-3260 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 5712613529 |
| Mailing Telephone | 5712613529 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 5712613529 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Lake Manassas OB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639530124 | Nmg Affiliate Practice I, LLC | Internal Medicine | 4197c Winchester Rd, Marshall, VA 20115-3252 | 2016-03-11 |
| 1154701878 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 | 2015-06-08 |
| 1194110445 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15195 Heathcote Blvd Suite 338, Haymarket, VA 20169-6242 | 2015-04-03 |
| 1831466440 | Nmg Affiliate Practice I, LLC | Surgery | 14010 Smoketown Rd Ste 105, Woodbridge, VA 22192-4723 | 2011-11-28 |
| 1770143570 | Nmg Affiliate Practice I, LLC | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169-6244 | 2019-06-14 |
| 1487218871 | Nmg Affiliate Practice I, LLC | Family Medicine | 190 Moravian Way Dr, Winston Salem, NC 27106-3216 | 2019-05-01 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1952875809 | Nmg Affiliate Practice I, LLC | Obstetrics & Gynecology | 428 Hospital Dr, Warrenton, VA 20186-3026 | 2019-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | NMG Affiliate Practice I, LLC | 2085 Frontis Plaza Blvd , Winston Salem, NC 27103-5614 |
| Virginia Business Entity | NMG AFFILIATE PRACTICE I, LLC | 200 HAWTHORNE LN , CHARLOTTE, NC 28204 |
| Street Address |
7915 LAKE MANASSAS DR SUITE 205 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839073 | Mary A Speicher | Dentist | 7915 Lake Manassas Dr, Suite 115, Gainesville, VA 20155-3258 | 2005-05-24 |
| 1750796793 | Veronika Safronovna Bumgardner | Physician Assistant | 7915 Lake Manassas Dr, Suite 205, Gainesville, VA 20155-3258 | 2014-06-29 |
| 1770912560 | Natasha Khurana Dds Pllc | Dentist | 7915 Lake Manassas Dr, Suite 301, Gainesville, VA 20155-3258 | 2013-11-02 |
| 1881938090 | 1st Class Sleep Diagnostics, Inc | Clinical Medical Laboratory | 7915 Lake Manassas Dr, Suite 305, Gainesville, VA 20155-3258 | 2012-11-15 |
| 1982859252 | Am Sleep Centers Inc. | Clinic/Center | 7915 Lake Manassas Dr, Gainesville, VA 20155-3258 | 2008-11-29 |
| 1356539100 | Lake Manassa Dental Center | Dentist | 7915 Lake Manassas Dr, Ste 115, Gainesville, VA 20155 | 2007-10-05 |
| 1629269527 | Mylan Satchi | Internal Medicine | 7915 Lake Manassas Dr, Ste 302, Gainesville, VA 20155-3260 | 2007-08-06 |
| 1518990472 | Gastroenterology Associates PC | Specialist | 7915 Lake Manassas Dr, Suite 302, Gainesville, VA 20155-3260 | 2006-07-07 |
| 1336172154 | Kenneth W Gerard | Anesthesiology | 7915 Lake Manassas Dr, Ste 302, Gainesville, VA 20155-3260 | 2006-07-07 |
| 1265478580 | Claire E. Jenkins | Nurse Anesthetist, Certified Registered | 7915 Lake Manassas Dr, Suite 302, Gainesville, VA 20155-3258 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932531068 | Danny Elliott Askew | Obstetrics & Gynecology | 1359 Springdale Rd, Gainesville, GA 30501-2447 | 2013-07-31 |
| 1528404910 | John W Browning II | Obstetrics & Gynecology | 873 Glenwood Dr, Gainesville, GA 30501-2311 | 2013-05-13 |
| 1417210477 | Kristen Nicole Scogin | Obstetrics & Gynecology | 6440 W Newberry Rd., Suite 111, Gainesville, FL 32605 | 2012-06-24 |
| 1578824967 | Kathryn Eleanor Patrick | Obstetrics & Gynecology | 6440 W Newberry Rd Ste 507, Gainesville, FL 32605-8302 | 2012-06-03 |
| 1932361953 | Jameela Lenora Harper | Obstetrics & Gynecology | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2008-07-01 |
| 1316159916 | Thomas Currier Md Pa | Obstetrics & Gynecology | 413 East Broadway, Gainesville, TX 76240 | 2007-05-04 |
| 1598895500 | Heritage Ob Gyn, PC | Obstetrics & Gynecology | 668 Lanier Park Dr, Gainesville, GA 30501-2061 | 2007-03-07 |
| 1063567675 | Kent Gerard Miller | Obstetrics & Gynecology | 2350 Limestone Parkway, Gainesville, GA 30501 | 2007-01-24 |
| 1619030731 | Michael J Lukowski & Associates | Obstetrics & Gynecology | 6640 W Newberry Rd Suite 201, Gainesville, FL 32605-4369 | 2006-12-19 |
| 1730248295 | Prince William Obgyn Associates, Ltd | Obstetrics & Gynecology | 7508 Gardner Park Dr, Gainesville, VA 20155-3414 | 2006-12-08 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on NMG AFFILIATE PRACTICE I, LLC.
| 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.