NMG AFFILIATE PRACTICE I LLC (NPI# 1801191317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801191317 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I LLC |
| Other Organization Name | NOVANT HEALTH HEART AND VASCULAR |
| Practice Address |
110 East Blue Ridge Street Stuart VA 24171 |
| Mailing Address |
Po Box 602362 Charlotte NC 28260-2362 |
| Practice Telephone | 2766943715 |
| Practice Fax Number | 2766942587 |
| Mailing Telephone | 7043847840 |
| Mailing Fax Number | 7043847830 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | GEOFFREY K GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043847606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Heart and Vascular | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750719977 | Nmg Affiliate Practice I LLC | Internal Medicine | 10945 George Mason Cir, Manassas, VA 20110-2233 | 2013-10-25 |
| 1639474240 | Nmg Affiliate Practice I LLC | Internal Medicine | 812 West Stuart Drive, Galax, VA 24333-2605 | 2011-01-13 |
| 1407211451 | Nmg Affiliate Practice I LLC | Family Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-17 |
| 1861857815 | Nmg Affiliate Practice I LLC | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2015-12-17 |
| 1457741126 | Nmg Affiliate Practice I LLC | Internal Medicine | 8575 Sudley Rd, Suite A, Manassas, VA 20110-3861 | 2015-02-02 |
| 1386053502 | Nmg Affiliate Practice I LLC | Psychiatry & Neurology | 8644 Sudley Rd, Suite 315, Manassas, VA 20110-4417 | 2014-08-13 |
| 1114222700 | Nmg Affiliate Practice I LLC | Internal Medicine | 150 Charlois Blvd, Suite 290, Winston Salem, NC 27103-1549 | 2011-01-13 |
| 1558666164 | Nmg Affiliate Practice I LLC | Internal Medicine | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2011-01-13 |
| 1184929796 | Nmg Affiliate Practice I LLC | Internal Medicine | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2011-01-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | NMG AFFILIATE PRACTICE I LLC | 200 Hawthorne Ln, Charlotte, North Carolina 28204 |
| North Carolina Corporations | NMG Affiliate Practice I LLC | 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 |
| Street Address |
110 EAST BLUE RIDGE STREET |
| City | STUART |
| State | VA |
| Zip Code | 24171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| 1902900202 | Pch Operations, LLC Dba R.j. Reynolds-patrick County Memorial Hospital | General Acute Care Hospital | 18688 Jeb Stuart Highway, Stuart, VA 24171 | 2006-09-08 |
| Find all providers in zip 24171 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830672 | Bt Heart and Vascular Center, Pllc | Internal Medicine | 110 East Blue Ridge St., Stuart, VA 24171-1560 | 2005-12-01 |
| 1639178734 | Howard Scott Helfman | Internal Medicine | 1027 Se Ocean Blvd, Stuart, FL 34996-2576 | 2005-07-20 |
| 1386018984 | Stephen Lacky Chastain | Internal Medicine | 5850 Se Community Dr, Stuart, FL 34997-6420 | 2015-11-19 |
| 1710227954 | Hetain Patel | Internal Medicine | 1027 Se Ocean Blvd, Stuart, FL 34996-2576 | 2013-02-25 |
| 1164592879 | Martin Memorial Hospital Physicians | Internal Medicine | 300 Se Hospital Ave, Stuart, FL 34994-2338 | 2006-11-09 |
| 1841255783 | George J Goldman | Internal Medicine | 1001 Se Monterey Commons Blvd, Suite 300, Stuart, FL 34996-3329 | 2006-04-20 |
| 1578525069 | Donald Brooks Hoffman Jr. | Internal Medicine | 1713 Nw Federal Hwy, Stuart, FL 34994-9631 | 2006-04-03 |
| 1205815040 | Steven A Malosky | Internal Medicine | 1027 Se Ocean Blvd, Stuart, FL 34996-2576 | 2006-01-11 |
| 1477552578 | Robert Philip Cotler | Internal Medicine | 1027 Se Ocean Blvd, Stuart, FL 34996-2576 | 2005-07-20 |
| 1326047432 | Lismore Burton Heron | Internal Medicine | 1027 Se Ocean Blvd, Stuart, FL 34996-2576 | 2005-07-20 |
| Find all providers in STUART | ||||
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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.