Jonathan L Siddon (NPI# 1003194218, PAC ID# 1759512858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003194218 |
| PAC ID by PECOS | 1759512858 |
| Professional Enrollment ID | I20140722000930 |
| Full Name | Jonathan L Siddon |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
9900 Belward Campus Dr Suite 325 Rockville MD 20850-4095 |
| Phone Number | 3019172191 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490122 | INOVA MOUNT VERNON HOSPITAL |
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| 490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8109 Hinson Farm Rd, Suite 504, Alexandria, VA 22306-3411 | 7037802800 | PRIVIA MEDICAL GROUP,LLC |
| 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 | 3019172191 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Burcin U Fraser | Allergy/immunology | Privia Medical Group,llc | 1360 Beverly Rd, Suite 103, Mclean, VA 22101-3621 |
| Street Address |
9900 BELWARD CAMPUS DR SUITE 325 |
| City | ROCKVILLE |
| State | MD |
| Zip | 20850-4095 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anh Truong | Family Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Thuy Phuong T Vo | Family Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Eric M Thomson | Family Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| James Jenkins | Family Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Robert P Holman | Infectious Disease | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Walter S Von Pechmann | Obstetrics/gynecology | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Carolyn Turpin | Nurse Practitioner | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Elham M Taheri | Nurse Practitioner | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Walter J Hodges Jr. | Obstetrics/gynecology | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Sally Mcfarland | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Avi Schachter | Family Medicine | Family Healthcare, P.C. | 9420 Keywest Ave, Suite 410, Rockville, MD 20850 |
| Martha O Skurla | Family Medicine | Family Healthcare, P.C. | 9420 Keywest Ave, Suite 410, Rockville, MD 20850 |
| Audrey G Weitzman | Physician Assistant | Family Healthcare, P.C. | 9420 Keywest Ave, Suite 410, Rockville, MD 20850 |
| Nils M Brownworth | Physician Assistant | Family Healthcare, P.C. | 9420 Keywest Ave, Suite 410, Rockville, MD 20850 |
| Andrea Eyestone | Physician Assistant | Family Healthcare, P.C. | 9420 Keywest Ave, Suite 410, Rockville, MD 20850 |
| Jeremy N Wetter | Physician Assistant | Family Healthcare, P.C. | 9420 Keywest Ave, Suite 410, Rockville, MD 20850 |
| Manisha Kalra | Family Medicine | Family Medicine Shady Grove | 15215 Shady Grove Rd, Suite 304, Rockville, MD 20850-0200 |
| Rohit Seem | Family Medicine | Family Medicine Shady Grove | 15215 Shady Grove Rd, Suite 304, Rockville, MD 20850-0200 |
| William Bradford Lawson | Psychiatry | 155 Gibbs St, Rockville, MD 20850-0353 | |
| Nicholas C Jan | Physical Therapy | 1509 Baylor Ave, Rockville, MD 20850-1026 | |
| Find all physicians in zip 20850 | |||
| City | ROCKVILLE |
| Zip Code | 20850 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROCKVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jonathan L Siddon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.