ORTHOPAEDIC & SPINE SURGERY INSTITUTE PLLC (NPI# 1134427453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134427453 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC & SPINE SURGERY INSTITUTE PLLC |
| Practice Address |
19465 Deerfield Ave Suite 207 & 307 Leesburg VA 20176-1701 |
| Practice Telephone | 7037294692 |
| Practice Fax Number | 7037294693 |
| Mailing Telephone | 7037294692 |
| Mailing Fax Number | 7037294693 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |
| Authorized Official Name | ALI MOSHIRFAR (OWNER) |
| Authorized Official Telephone | 7037294692 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Street Address |
19465 DEERFIELD AVE SUITE 207 & 307 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306830179 | Virginia Marie Hackenberg | Obstetrics & Gynecology | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2005-09-07 |
| 1255787099 | Loudoun Medical Group PC | Internal Medicine | 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701 | 2016-05-11 |
| 1164809414 | Loudoun Medical Group PC | Allergy & Immunology | 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701 | 2015-05-06 |
| 1467873067 | Kimberly Anne Gregory | Advanced Practice Midwife | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2013-12-27 |
| 1083035893 | Heather K Swartz | Advanced Practice Midwife | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2013-12-20 |
| 1215358155 | Loudoun Medical Group PC | Physical Therapist | 19465 Deerfield Ave, Suite 207, Leesburg, VA 20176-1701 | 2013-12-19 |
| 1578803490 | Sara R Scott | Physical Therapist | 19465 Deerfield Ave, Leesburg, VA 20176-1701 | 2013-03-01 |
| 1801136635 | Loudoun Medical Group PC | Internal Medicine | 19465 Deerfield Ave, Suite 309, Leesburg, VA 20176-1701 | 2013-02-14 |
| 1922347236 | Vishakha Nabar | Physical Therapist | 19465 Deerfield Ave, Suite 208, Leesburg, VA 20176-1701 | 2013-02-06 |
| 1346529773 | Natalie Buller Miller | Speech-Language Pathologist | 19465 Deerfield Ave, #201, Leesburg, VA 20176-1701 | 2011-08-16 |
| Find all providers in the same location | ||||
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588941629 | Csssdwc | Orthopaedic Surgery | 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 | 2011-11-03 |
| 1134413230 | Loudoun Medical Group PC | Orthopaedic Surgery | 19450 Deerfield Ave Ste 300, Leesburg, VA 20176-6821 | 2011-06-06 |
| 1164698999 | Loudoun Medical Group PC | Orthopaedic Surgery | 224 D Cornwall Street Nw, Suite 204, Leesburg, VA 20176 | 2008-05-01 |
| 1225130966 | Ali Moshirfar | Orthopaedic Surgery | 19450 Deerfield Ave Ste 300, Leesburg, VA 20176-6821 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883192 | Spine Center PC | Orthopaedic Surgery | 2726 Electric Rd Ste 203a, Roanoke, VA 24018-3528 | 2020-05-18 |
| 1992299598 | Hasz Spine Institute PC | Orthopaedic Surgery | 1830 Town Center Dr Ste 102, Reston, VA 20190-3216 | 2018-06-18 |
| 1881188506 | Nikhil Jain | Orthopaedic Surgery | 1215 Lee St - Box Number 800159, Charlottesville, VA 22908-0816 | 2018-06-16 |
| 1922516806 | Joint Replacement Cin of Northern Virginia LLC | Orthopaedic Surgery | 1900 Campus Commons Dr Ste 100a, Reston, VA 20191-1561 | 2018-01-13 |
| 1134562051 | Elliott Jiwoo Kim | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-10 |
| 1255695490 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 | 2012-07-03 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| 1144403262 | Kirven Orthopedic Group, P.C. | Orthopaedic Surgery | 5701 Cleveland Street, Suite 600, Virginia Beach, VA 23462 | 2007-12-12 |
| 1699859058 | Adel S Kebaish | Orthopaedic Surgery | 7787 Leesburg Pike, B, Falls Church, VA 22043-2412 | 2006-10-24 |
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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.