NMG AFFILLIATE PRACTICE I, LLC (NPI# 1285185538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285185538 |
| Entity Type | Organization |
| Organization Name | NMG AFFILLIATE PRACTICE I, LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM NEUROSCIENCES INPATIENT SPECIALISTS |
| Practice Address |
8700 Sudley Rd Manassas VA 20110-4418 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033965292 |
| Practice Fax Number | 7033965297 |
| Mailing Telephone | 7033965292 |
| Mailing Fax Number | 7033965297 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7033965292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Neurosciences Inpatient Specialists | Doing Business As Name - Organization |
| Street Address |
8700 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588725 | Christopher R Heaton | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2005-06-16 |
| 1740806629 | Lyndsey Atherton Lee | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-06-17 |
| 1033731591 | Marti Abarquez | Radiologic Technologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-05-07 |
| 1235764317 | Chelsea Mara Thompson | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-03-09 |
| 1346874997 | Lauren Nichole-evans Jeske | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-02-22 |
| 1689218620 | Martha Gordon | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-11-02 |
| 1528609203 | Sheridan Childrens Healthcare Services of Virginia Inc | Audiologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-10-03 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1588122410 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-03-11 |
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| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750870556 | Evergreen Neurology and Sleep Center | Psychiatry & Neurology | 8609 Sudley Rd Ste 204, Manassas, VA 20110-4500 | 2018-05-07 |
| 1154791721 | Jafarpour Neuropain LLC | Psychiatry & Neurology | 9303 Center St, Suite 200, Manassas, VA 20110-1800 | 2015-09-25 |
| 1538397310 | Mohammadhamed Labbaf | Psychiatry & Neurology | 9303 Center St Ste 200, Manassas, VA 20110-1801 | 2009-06-30 |
| 1376618132 | Manassas Neurology Associates Pllc | Psychiatry & Neurology | 8650 Sudley Rd Ste 309, Manassas, VA 20110-4416 | 2006-11-21 |
| 1245237718 | Jonathan Robert Amy | Psychiatry & Neurology | 8650 Sudley Rd, Suite 309, Manassas, VA 20110-4419 | 2005-06-30 |
| 1528265964 | Saumya Nagarajan Gill | Psychiatry & Neurology | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2007-06-29 |
| 1588692586 | Leah Dawn Kroeger | Psychiatry & Neurology | 8650 Sudley Rd, Suite 309, Manassas, VA 20110 | 2006-06-29 |
| 1619956703 | Yvette C Sandoval | Psychiatry & Neurology | 8650 Sudley Rd, Suite 300, Manassas, VA 20110-4419 | 2006-01-17 |
| 1104805290 | Hoda M Hachicho | Psychiatry & Neurology | 8650 Sudley Rd, Suite 300, Manassas, VA 20110-4419 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1790342285 | Neural Network Pllc | Psychiatry & Neurology | 4660 Kenmore Ave Ste 408, Alexandria, VA 22304-1306 | 2019-05-21 |
| 1497226021 | Virginia Beach Neurology Ltd | Psychiatry & Neurology | 968 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3171 | 2018-12-07 |
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1023533718 | Riverside Physician Services Inc. | Psychiatry & Neurology | 659 Hospital Rd Ste 101, Tappahannock, VA 22560-7000 | 2017-08-03 |
| 1407306442 | Virginia Hospital Center Physician Group LLC | Psychiatry & Neurology | 1715 N George Mason Dr Ste 409, Arlington, VA 22205-3665 | 2016-10-13 |
| 1144676701 | Andrew Keith Worthington | Psychiatry & Neurology | 4200 Sulgrave Rd, Richmond, VA 23221-3255 | 2016-05-12 |
| 1043673544 | Northern Virginia Neurology & Headache, Pllc | Psychiatry & Neurology | 7700 Little River Turnpike, Suite 605, Annadale, VA 22003-2400 | 2016-04-01 |
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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.