CLIFTON CENTREVILLE MEDICAL ASSOCIATES (NPI# 1912078619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912078619 |
| Entity Type | Organization |
| Organization Name | CLIFTON CENTREVILLE MEDICAL ASSOCIATES |
| Other Organization Name | CCMA |
| Practice Address |
5895 Trinity Pkwy Suite 100 Centreville VA 20120-1995 |
| Mailing Address |
5895 Trinity Pkwy Suite 100 Centreville VA 20120-1996 |
| Practice Telephone | 7038022004 |
| Practice Fax Number | 7038022113 |
| Mailing Telephone | 7038022004 |
| Mailing Fax Number | 7038022113 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | DR. ALAN R. LEVINSTONE (CEO) |
| Authorized Official Telephone | 7038022004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0101237688 | VA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101-049277 | VA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 0101-049277 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006078508 | 05 | |
| VA | MEDICARE GBA | VV1662B | 01 |
| Other Name | Type Code |
|---|---|
| CCMA | Doing Business As Name - Organization |
| Street Address |
5895 TRINITY PKWY SUITE 100 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20120-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709265 | Alan R Levinstone | Internal Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1996 | 2005-06-02 |
| 1477870541 | Mariya Bourget | Internal Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2010-04-28 |
| 1811150899 | Susan S Fitzgerald | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2008-07-09 |
| 1063675205 | Pauline Abate | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2008-07-08 |
| 1568624054 | Kathleen Shearer | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2008-06-26 |
| 1629238597 | Loudoun Medical Group PC | Otolaryngology | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2008-06-13 |
| 1679755425 | Louise A Leblanc | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2007-12-04 |
| 1891813242 | Katherine Buran Fischer | Dentist | 5895 Trinity Pkwy, Suite 200, Centreville, VA 20120-1921 | 2007-03-26 |
| 1306964770 | Charles Curt Fischer | Dentist | 5895 Trinity Pkwy, Suite 200, Centreville, VA 20120-1921 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1033122981 | Charles & Katherine Fischer Dds PC | Dentist | 5895 Trinity Parkway, Suite 200, Centreville, VA 20120 | 2006-08-14 |
| Find all providers in zip 20120 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1417294224 | Cyril Joseph Mdpc | Internal Medicine | 6105 Oakengateway, Centreville, VA 20120-1160 | 2013-01-14 |
| 1730342643 | Field Memorial Community Hospital | Internal Medicine | 270 W Main Street, Centreville, MS 39631 | 2008-07-10 |
| 1922265164 | Anjali Garg | Internal Medicine | 6101 Redwood Square Ctr Ste 200, Centreville, VA 20121-4267 | 2008-05-16 |
| 1508048778 | Ashok Kumar Ahuja | Internal Medicine | 13533 Ann Grigsby Cir, Centreville, VA 20120-2625 | 2007-11-29 |
| 1811908874 | Valencia Denise Adams | Internal Medicine | 14119 Sorrel Chase Ct, Centreville, VA 20121-3804 | 2006-08-11 |
| 1134166812 | Field Memorial Community Hospital | Internal Medicine | 178 Highway 24 E Ste A, Centreville, MS 39631-4171 | 2006-06-01 |
| 1992709265 | Alan R Levinstone | Internal Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1996 | 2005-06-02 |
| 1053706382 | Gurpreet Saini | Internal Medicine | 2540 Centreville Rd, Centreville, MD 21617 | 2015-04-02 |
| 1639428840 | Piyush R Patel Md, PC | Internal Medicine | 13880 Braddock Rd, Suite 209, Centreville, VA 20121-2459 | 2012-09-04 |
| 1477870541 | Mariya Bourget | Internal Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2010-04-28 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20120 |
Please comment or provide details below to improve the information on CLIFTON CENTREVILLE MEDICAL ASSOCIATES.
| 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.