BECKWITH INTEGRATIVE MEDICINE, PLLC (NPI# 1891347266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891347266 |
| Entity Type | Organization |
| Organization Name | BECKWITH INTEGRATIVE MEDICINE, PLLC |
| Practice Address |
952 Edwards Ferry Rd Ne Leesburg VA 20176-3324 |
| Practice Telephone | 7036874158 |
| Practice Fax Number | 7036874159 |
| Mailing Telephone | 7036874158 |
| Mailing Fax Number | 7036874159 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | DR. ROSHELLE BECKWITH (OWNER) |
| Authorized Official Telephone | 7036874158 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1235162280 | 1235162280 | 01 |
| VA | 1235162280 | 05 | |
| VA | 1326514316 | 1326514316 | 01 |
| VA | 1326514316 | 05 |
| Other Name | Type Code |
|---|---|
| Amygdala | Doing Business As Name - Organization |
| Street Address |
952 EDWARDS FERRY RD NE |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043358971 | Roshelle J Beckwith | Emergency Medicine | 952 Edwards Ferry Rd Ne, Metromed Urgent Care, Leesburg, VA 20176-3324 | 2007-02-02 |
| 1326514316 | Lucille V Tussey | Nurse Practitioner | 952 Edwards Ferry Rd Ne, Leesburg, VA 20176-3324 | 2018-10-17 |
| 1417493750 | Michelle Irene Pego | Nurse Practitioner | 952 Edwards Ferry Rd Ne, Leesburg, VA 20176-3324 | 2017-01-10 |
| 1194163683 | Beckwith Medical Group, Pllc | Clinic/Center | 952 Edwards Ferry Rd Ne, Leesburg, VA 20176-3324 | 2013-06-06 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1366996738 | Jose Llamas | General Practice | 601 E Dixie Ave Ste 102, Leesburg, FL 34748-5953 | 2016-08-15 |
| 1720428428 | Helen Cicirello | General Practice | 40845 Forest Glen Dr, Leesburg, VA 20175-6557 | 2013-06-27 |
| 1093777633 | George T Hocker Md | General Practice | 209 Old Waterford Road Nw, Leesburg, VA 20176 | 2006-04-06 |
| 1730326745 | Villages Regional Hospital Physician Services LLC | General Practice | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2009-01-13 |
| 1912008145 | Henryk T Malczak | General Practice | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | 2006-09-26 |
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| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
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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.