Kevin Lee Glass (NPI# 1417959743, PAC ID# 8527118991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1417959743 |
| PAC ID by PECOS | 8527118991 |
| Professional Enrollment ID | I20100414000345 |
| Full Name | Kevin Lee Glass |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
8650 Sudley Rd Manassas VA 20110-4416 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490045 | NOVANT PRINCE WILLIAM MEDICAL CENTER |
| 490023 | FAUQUIER HOSPITAL |
| 490144 | NOVANT HEALTH UVA HEALTH HAYMARKET MEDICAL CENTER |
| 490019 | NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MED CENTE |
| 490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3650 Joseph Siewick Dr, Fairfax, VA 22033-1715 | PRIVIA MEDICAL GROUP,LLC | |
| 8650 Sudley Rd, Manassas, VA 20110-4416 | PRIVIA MEDICAL GROUP,LLC | |
| 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 | 3019172191 | PRIVIA MEDICAL GROUP,LLC |
| 382 Hospital Dr, Warrenton, VA 20186-3006 | 5403498195 | 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 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Street Address |
8650 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip | 20110-4416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Pope | Physician Assistant | Virginia Spine Specialists Pllc | 8650 Sudley Rd, Suite 315, Manassas, VA 20110-4416 |
| Hoda Hachicho | Neurology | Privia Medical Group,llc | 8650 Sudley Rd, Manassas, VA 20110-4416 |
| Kenneth I Henson | General Surgery | Dhp of Virginia PC | 8650 Sudley Rd, Suite 215, Manassas, VA 20110-4416 |
| Mudit Sharma | Neurosurgery | Virginia Spine Specialists Pllc | 8650 Sudley Rd, Suite 315, Manassas, VA 20110-4416 |
| Mary J Grote | Qualified Audiologist | Ideal Practice Management Group De LLC | 8650 Sudley Rd, Manassas, VA 20110-4419 |
| Maura Patricia Foley | Pulmonary Disease | Privia Medical Group,llc | 8650 Sudley Rd, Manassas, VA 20110-4416 |
| Yvette Sandoval | Neurology | Privia Medical Group,llc | 8650 Sudley Rd, Manassas, VA 20110-4416 |
| Richard Swift | Pulmonary Disease | Privia Medical Group,llc | 8650 Sudley Rd, Manassas, VA 20110-4416 |
| Ambar Matta | General Surgery | Dhp of Virginia PC | 8650 Sudley Rd, Suite 215, Manassas, VA 20110-4416 |
| George Bazaco | Pulmonary Disease | Privia Medical Group,llc | 8650 Sudley Rd, Manassas, VA 20110-4416 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syamala K Naroji | Obstetrics/gynecology | 8071 Digges Rd, Manassas, VA 20110 | |
| Eugene H Kim | Nephrology | Kidney and Hypertension Specialists, Pllc | 9378 Forestwood Lane E, Manassas, VA 20110 |
| Rashida K Rahman | Nephrology | Kidney and Hypertension Specialists, Pllc | 9378 Forestwood Lane E, Manassas, VA 20110 |
| Jay J Lee | Optometry | 9405 Liberia Ave, Manassas, VA 20110-1718 | |
| Sofia Naz Ahmad | Optometry | Advanced Ophthalmology,inc | 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723 |
| Babur B Lateef | Ophthalmology | Advanced Ophthalmology,inc | 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723 |
| Lisa H Kerrigan | Physical Therapy | Advantage Physical Therapy and Rehabilitation LLC | 9161 Liberia Ave, Suite 205, Manassas, VA 20110-1725 |
| Salma Chakhachirou | Optometry | Manassas Optometry, LLC | 9675 Liberia Ave, Suite 220, Manassas, VA 20110-1741 |
| Rosemary Clara Nzeogu | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Jennifer Leigh Folks | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Find all physicians in zip 20110 | |||
| City | MANASSAS |
| Zip Code | 20110 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | MANASSAS + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Kevin Lee Glass.
| 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.