NMG AFFILIATE PRAACTICE I, LLC (NPI# 1164990941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164990941 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRAACTICE I, LLC |
| Practice Address |
9430 Forestwood Ln Ste 100 Manassas VA 20110-4754 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033650227 |
| Mailing Telephone | 8442668268 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Authorized Official Name | SHALA DAVIS (MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Olde Towne Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215462817 | Nmg Affiliate Praactice I, LLC | Psychiatry & Neurology | 15195 Heathcote Blvd Ste 350, Haymarket, VA 20169-6244 | 2017-04-21 |
| Street Address |
9430 FORESTWOOD LN STE 100 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801940531 | Denyse R Bailey | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110 | 2007-01-22 |
| 1295395002 | Jennifer Marie Rickerby | Nurse Practitioner | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2019-06-14 |
| 1730541491 | Kiley Boone | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2016-03-22 |
| 1104220813 | Gigi Elisabeth Dann | Registered Nurse | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2014-10-09 |
| 1346470945 | Susmita Nursingha Sarangi | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588051015 | Noreen Hossain | Pediatrics | 8701 Stonewall Rd Ste 1a, Manassas, VA 20110-8327 | 2015-04-22 |
| 1255687950 | Keyur Kamlesh Mehta | Pediatrics | 8609 Sudley Rd Ste 203, Manassas, VA 20110-4500 | 2012-07-31 |
| 1598096091 | Prince William Pediatric Care Inc. | Pediatrics | 8701 Stonewall Rd, Unit 1a, Manassas, VA 20110-8326 | 2010-01-22 |
| 1982859484 | Children's Health Care Center of Nova | Pediatrics | 9001 Digges Rd Ste 106, Manassas, VA 20110-4414 | 2008-11-25 |
| 1205096286 | Rachna A. Patel | Pediatrics | 10623 Crestwood Drive, Manassas, VA 20109 | 2008-06-12 |
| 1205034659 | Pediatric Practice,pc | Pediatrics | 8600 Rolling Rd Ste 100, Manassas, VA 20110-3868 | 2007-07-06 |
| 1205037959 | Chiquitia Jenee Anderson | Pediatrics | 8640 Sudley Rd Ste 306, Manassas, VA 20110-4404 | 2007-05-30 |
| 1699802942 | Louis Puppo | Pediatrics | 10692 Crestwood Dr Ste B, Manassas, VA 20109 | 2007-02-27 |
| 1801940531 | Denyse R Bailey | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110 | 2007-01-22 |
| 1568538858 | Shiekh Mohammed M Hossain | Pediatrics | 8701 Stonewall Road, Unit 1a, Manassas, VA 20110 | 2006-11-28 |
| Find all providers in MANASSAS | ||||
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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.